Jackson, Anita Dionne

Jackson, Anita Dionne is an sole proprietor health care provider with primary practice located at 29 Baltimore Ln , Palm Coast FL 32137-8851. She recently has 2 registered licenses in different health care specialties including Agencies / In Home Supportive Care, Agencies / Home Health. Agencies / Home Health is her primary health care specialty. Jackson, Anita Dionne can be contacted via phone (386) 264-1398.

Contact Information

Primary practice address
29 Baltimore Ln Palm Coast FL 32137-8851
Phone: (386) 264-1398
Fax: (386) 303-5536
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X Florida
Agencies / Home Health 251E00000X 30212414 Florida

Profile Details

NPI number 1134699481
LBN Legal business name Jackson, Anita Dionne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2018
Last updated Jul 12th, 2022 - about 3 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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