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

Renetia Jackson

Individual provider Attendant Care Provider · NPI 1932758158

Renetia Jackson is an Attendant Care Provider in Farmington, Minnesota. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

1210 Spruce St
Farmington, MN 55024
Phone: (612) 702-8541
Show map & directions

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

Specialties & licences

Attendant Care Provider (primary) Taxonomy 3747A0650X

Record details

NPI number1932758158
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 10, 2019
Last updated in NPPESSeptember 10, 2019
Mailing address1210 Spruce Street, Farmington, MN 55024

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