Jackson, Alexis Adrianna

Jackson, Alexis Adrianna is an sole proprietor health care provider with primary practice located at 1205 Parkman Rd Nw , Warren OH 44485-2470. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Jackson, Alexis Adrianna can be contacted via phone (330) 942-1456.

Contact Information

Primary practice address
1205 Parkman Rd Nw Warren OH 44485-2470
Phone: (330) 942-1456
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1770121378
LBN Legal business name Jackson, Alexis Adrianna
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2019
Last updated Dec 13th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770121378 NPPES
Ohio MEDICAID 0374711

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