Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. BIANCA JO JACKSON
Active Sole ProprietorMS. BIANCA JO JACKSON is a In Home Supportive Care Agency healthcare provider located in HEPHZIBAH, Georgia. NPI 1992387823 is currently active in the NPPES registry. Verify at CMS.
In Home Supportive Care Agency · HEPHZIBAH, GA
Registration Details
- NPI Number
- 1992387823
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 21, 2021 (5.1327031955956 yrs)
- Last Updated
- Apr 10, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
2508 SHANNON CTHEPHZIBAH, GA, 308156633Browse GA providers · Browse ZIP 30815
- Phone
- 7062841533
- Fax
- 7062841533
- Primary Specialty
-
In Home Supportive Care Agency
253Z00000X
- Additional Specialty
- Physical Disabilities Residential Treatment Facility
- Additional Specialty
- In Home Supportive Care Agency
Other In Home Supportive Care Agency Providers in HEPHZIBAH, GA
| Name | Credential | NPI |
|---|---|---|
| JESSICA LEEANN JACKSON | — | 1396387361 |
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.