Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL LATRELLE JACKSON
Active Sole ProprietorMICHAEL LATRELLE JACKSON is a Home Health Aide healthcare provider located in ROCK HILL, South Carolina. NPI 1942050059 is currently active in the NPPES registry. Verify at CMS.
Home Health Aide · ROCK HILL, SC
Registration Details
- NPI Number
- 1942050059
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 25, 2024 (2.4330305748924 yrs)
- Last Updated
- May 20, 2024
- License
-
IHCP-2092 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1156 BANNOCKBURN AVEROCK HILL, SC, 297321095Browse SC providers · Browse ZIP 29732
- Phone
- 8037185292
- Primary Specialty
-
Home Health Aide
374U00000X
Other Home Health Aide Providers in ROCK HILL, SC
| Name | Credential | NPI |
|---|---|---|
| MARVIN ALEXANDER STALLWORTH | — | 1457518052 |
| KRYSTEN TARBELL | — | 1518339522 |
| DORETTA JOHNSON | CNA | 1700242369 |
| KESHA LEAK | — | 1437630290 |
| LEE ANN EVELYNN BOGERT | — | 1881168516 |
| LASHANDA WILSON | — | 1972142487 |
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.