Kellie Nichelle Jackson
Kellie Nichelle Jackson is an In Home Supportive Care Agency in Riverview, Florida. Registered with an NPI since 2026.
- In the registry since
- 2026
- Specialties on file
- 2
Practice location Address checks out
13923 Painted Bunting LnRiverview, FL 33579-3525
Phone: (813) 304-8251
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Personal Care Attendant (primary) | Taxonomy 3747P1801X |
|---|---|
| In Home Supportive Care Agency | Taxonomy 253Z00000X |
Record details
| NPI number | 1184567414 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 11, 2026 |
| Last updated in NPPES | April 11, 2026 |
| Certification date | April 11, 2026 |
| Mailing address | 13923 Painted Bunting Ln, Riverview, FL 33579-3525 |
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