Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANNIE JACKSON
ActiveANNIE JACKSON is a Home Health Aide healthcare provider located in PHOENIX, Illinois. NPI 1700338712 is currently active in the NPPES registry. Verify at CMS.
Home Health Aide · PHOENIX, IL
Registration Details
- NPI Number
- 1700338712
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 26, 2016 (9.8411329841931 yrs)
- Last Updated
- Oct 26, 2016
- License
-
043068868 (IL)
Practice Information
- Address
-
517 E 153RD STPHOENIX, IL, 604262308Browse IL providers · Browse ZIP 60426
- Phone
- 7085132866
- Primary Specialty
-
Home Health Aide
374U00000X
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.