Tangenee N Jackson
Tangenee N Jackson is an In Home Supportive Care Agency in Indianapolis, Indiana. Practices as a sole proprietor. Licensed in Indiana.
- Licensed in
- IN
- In the registry since
- 2024
Practice location Address checks out
5148 Callan DrIndianapolis, IN 46254-3773
Phone: (317) 373-1921
Fax: (317) 875-1408
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Specialties & licences
| In Home Supportive Care Agency (primary) | Taxonomy 253Z00000X · Licence 24-016790 (IN) |
|---|
Record details
| NPI number | 1750131710 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 25, 2024 |
| Last updated in NPPES | December 12, 2024 |
| Certification date | December 12, 2024 |
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