Jackson, Joelisa W

Jackson, Joelisa W is an individual health care provider with primary practice located at 5118 Just St Ne , Washington DC 20019-5560. She recently has 2 registered licenses in different health care specialties including Emergency Medical Service Providers / Emergency Medical Technician, Basic, Nursing Service Related Providers / Personal Care Attendant. Nursing Service Related Providers / Personal Care Attendant is her primary health care specialty. Jackson, Joelisa W can be contacted via phone (202) 802-1644.

Contact Information

Primary practice address
5118 Just St Ne Washington DC 20019-5560
Phone: (202) 802-1644
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Emergency Medical Technician, Basic 146N00000X 1256-0428-1822 District of Columbia
Nursing Service Related Providers / Personal Care Attendant 3747P1801X District of Columbia

Profile Details

NPI number 1679261218
LBN Legal business name Jackson, Joelisa W
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2023
Last updated May 1st, 2023 - 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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