Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. TAWANIA JACKSON, MSN, BSN, RN, CCM
Active Sole ProprietorIn Home Supportive Care Agency · FLORISSANT, MO
Registration Details
- NPI Number
- 1780242024
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 2, 2019 (6.8853972543749 yrs)
- Last Updated
- Jun 2, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
15604 BRUNSWICK MANOR CTFLORISSANT, MO, 630343471Browse MO providers · Browse ZIP 63034
- Phone
- 3149207826
- Primary Specialty
-
In Home Supportive Care Agency
253Z00000X
Other In Home Supportive Care Agency Providers in FLORISSANT, MO
| Name | Credential | NPI |
|---|---|---|
| MARLA BONITA HUNT | CNA | 1316260508 |
| KENEISHIA ELIJAH | — | 1144649591 |
| RUTH JOHNSON | — | 1871966077 |
| ALISHA CROWDER | RN | 1356859862 |
| JESSICA JOHNSON | — | 1275021594 |
| FELICIA D. WILLIAMS | — | 1558927129 |
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.