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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS KEILON LATRICE JACKSON, CMA

Active Sole Proprietor

MISS KEILON LATRICE JACKSON, CMA is a Home Health Aide healthcare provider located in LAWRENCEVILLE, Georgia. NPI 1285852764 is currently active in the NPPES registry. Verify at CMS.

Home Health Aide · LAWRENCEVILLE, GA

Registration Details

NPI Number
1285852764
Provider Type
Individual
Gender
Female
NPI Issued
Apr 23, 2007 (19.26841548038 yrs)
Last Updated
Jan 5, 2012
Licenses
20019336068 (GA)
20019336068 (GA)
20019336068 (GA)
Sole Proprietor
Yes

Practice Information

Address
511 DOWNING ST
LAWRENCEVILLE, GA, 300454597
Browse GA providers · Browse ZIP 30045
Phone
6785779097
Primary Specialty
Home Health Aide
374U00000X
Additional Specialty
Home Health Aide
Additional Specialty
Nurse's Aide

Other Home Health Aide Providers in LAWRENCEVILLE, GA

Name Credential NPI
MS. PHILOMENA K QUARSHIE 1922348820
HANSEN NKEFOR HOME HEALTH 1174980239
PATRICIA ASANGANA 1063947844
AMELIA MICHELLE SOLOMON 1750906368
TAMERA ETCHISON 1194317768
OLUSOLA ADERIBIGBE MD 1720672777
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.