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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DAMITA JACKSON, CNA

Active Sole Proprietor

Nurse's Aide · KANSAS CITY, MO

Registration Details

NPI Number
1982366845
Provider Type
Individual
Gender
Female
NPI Issued
Oct 7, 2021 (4.5510836304841 yrs)
Last Updated
Oct 7, 2021
Licenses
189164 (VA)
100018A (MO)
Sole Proprietor
Yes

Practice Information

Address
1616 NE 81ST ST
KANSAS CITY, MO, 641188245
Browse MO providers · Browse ZIP 64118
Phone
8167837938
Primary Specialty
Nurse's Aide
376K00000X
Additional Specialty
Nurse's Aide

Other Nurse's Aide Providers in KANSAS CITY, MO

Name Credential NPI
SHARON SPARKS 1699105361
JOYCE SMITH CMA 1861968513
JAIESHA RELEFORD CNA 1154979532
PRECIOUS SHONTA ROBINSON 1609467083
TANIESHA MARINEY ADMINISTRATOR 1578149167
SHANTELL WEBB 1164202271
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.