Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Holly Marie Jackson

Individual provider Personal Care Attendant · NPI 1689275802

Mrs. Holly Marie Jackson is a Personal Care Attendant in Tipton, Missouri. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

29954 Bahner Quarry Rd
Tipton, MO 65081-3317
Phone: (573) 353-1292
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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

Record details

NPI number1689275802
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 4, 2020
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026