Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NAOMI JACKSON
Active Sole ProprietorNAOMI JACKSON is a Community/Behavioral Health healthcare provider located in COTTAGE GROVE, Minnesota. NPI 1366229122 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · COTTAGE GROVE, MN
Registration Details
- NPI Number
- 1366229122
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 13, 2023 (2.7317599998979 yrs)
- Last Updated
- Sep 13, 2023
- Licenses
-
1114922 (MN)1112024 (MN)1112024 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7691 62ND ST SCOTTAGE GROVE, MN, 550164676Browse MN providers · Browse ZIP 55016
- Phone
- 6514470398
- Primary Specialty
-
Community/Behavioral Health
251S00000X
- Additional Specialty
- In Home Supportive Care Agency
- Additional Specialty
- Community/Behavioral Health
Other Community/Behavioral Health Providers in COTTAGE GROVE, MN
| Name | Credential | NPI |
|---|---|---|
| LIONEL NJITOR | — | 1912682279 |
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.