Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. IKISHIA N JACKSON, R.N
Active Sole ProprietorMS. IKISHIA N JACKSON, R.N is a Home Health healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1912357682 is currently active in the NPPES registry. Verify at CMS.
Home Health · PHILADELPHIA, PA
Registration Details
- NPI Number
- 1912357682
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 14, 2016 (10.182863107712 yrs)
- Last Updated
- Jul 27, 2021
- Licenses
-
06650501 (PA)06650501 (PA)06650501 (PA)06650501 (PA)06650501 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
625 E GIRARD AVE APT 1PHILADELPHIA, PA, 191253400Browse PA providers · Browse ZIP 19125
- Phone
- 2674390966
- Fax
- 2154254414
- Primary Specialty
-
Home Health
251E00000X
- Additional Specialty
- Home Health Nurse
- Additional Specialty
- Case Management Agency
- Additional Specialty
- Home Health
- Additional Specialty
- Religious Nonmedical Health Care Institution
Other Home Health Providers in PHILADELPHIA, PA
| Name | Credential | NPI |
|---|---|---|
| MR. HUMBERTO DE LA CRUZ SR. | — | 1093909459 |
| RYAN CHRISTOPHER BROWN | DPT | 1053593772 |
| MARINA RABINOVICH | — | 1477719201 |
| MR. CLARENCE A STUPPARD SR. | ADMINISTRATOR | 1508175092 |
| K LEWIS | — | 1134410814 |
| RUTH BASCO | — | 1194143305 |
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.