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

MS. Bianca Jo Jackson

Individual provider In Home Supportive Care Agency · NPI 1992387823

MS. Bianca Jo Jackson is an In Home Supportive Care Agency in Hephzibah, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2021
Specialties on file
3

Practice location Address checks out

2508 Shannon Ct
Hephzibah, GA 30815-6633
Phone: (706) 284-1533
Fax: (706) 284-1533
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X
In Home Supportive Care Agency Taxonomy 253Z00000X (GA)
Physical Disabilities Residential Treatment Facility Taxonomy 320700000X

Record details

NPI number1992387823
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 21, 2021
Last updated in NPPESApril 10, 2022
Certification dateApril 10, 2022
Mailing address2508 Shannon Ct, Hephzibah, GA 30815-6633

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