Jackson, Desyre Kimberly

Jackson, Desyre Kimberly is an individual health care provider with primary practice located at 734 Pocahontas Pl , Hampton VA 23661-2434. She recently has only one registered license in Other Service Providers / Driver, which is considered as her primary health care specialty. Jackson, Desyre Kimberly can be contacted via phone (757) 975-3813.

Contact Information

Primary practice address
734 Pocahontas Pl Hampton VA 23661-2434
Phone: (757) 975-3813
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X Virginia

Profile Details

NPI number 1790301281
LBN Legal business name Jackson, Desyre Kimberly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2020
Last updated Jun 19th, 2020 - about 4 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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