Jackson, Iesha La'Toya
Jackson, Iesha La'Toya is an sole proprietor health care provider with primary practice located at 17111 Harbour Vista Cir , Saint Augustine FL 32080-5113. She recently has 3 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Community/Behavioral Health, Agencies / In Home Supportive Care. Agencies / Community/Behavioral Health is her primary health care specialty. Jackson, Iesha La'Toya can be contacted via phone (904) 343-0228.Contact Information
Primary practice address
17111 Harbour Vista Cir
Saint Augustine FL 32080-5113
Phone: (904) 343-0228
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Agencies / Day Training, Developmentally Disabled Services | 251C00000X | ||
Agencies / Community/Behavioral Health | 251S00000X | ||
Agencies / In Home Supportive Care | 253Z00000X |
Profile Details
NPI number | 1780973388 |
---|---|
LBN Legal business name | Jackson, Iesha La'Toya |
Credentials | Certified in Nursing Administration (CNA) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 4th, 2011 |
Last updated | Jun 10th, 2024 - about 3 months 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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