Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
OSTASSIA JACKSON
Active Sole ProprietorOSTASSIA JACKSON is a Home Health healthcare provider located in MEQUON, Wisconsin. NPI 1083342315 is currently active in the NPPES registry. Verify at CMS.
Home Health · MEQUON, WI
Registration Details
- NPI Number
- 1083342315
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 14, 2022 (3.8556931039689 yrs)
- Last Updated
- Aug 14, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
11431 N PORT WASHINGTON RD STE 206MEQUON, WI, 530923462Browse WI providers · Browse ZIP 53092
- Phone
- 4143199195
- Primary Specialty
-
Home Health
251E00000X
- Additional Specialty
- Lodging Provider
- Additional Specialty
- Homemaker
- Additional Specialty
- Nurse's Aide
- Additional Specialty
- Respite Care
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.