Jackson, John

Jackson, John is an sole proprietor health care provider with primary practice located at 127 Tallulah Ave , Jacksonville FL 32208-4163. He recently has 6 registered licenses in different health care specialties including Agencies / In Home Supportive Care, Transportation Services / Non-emergency Medical Transport (VAN), Transportation Services / Transportation Broker, Nursing Service Related Providers / Adult Companion, Nursing Service Related Providers / Home Health Aide, Nursing Service Related Providers / Personal Care Attendant. Nursing Service Related Providers / Personal Care Attendant is his primary health care specialty. Jackson, John can be contacted via phone (904) 707-1943.

Contact Information

Primary practice address
127 Tallulah Ave Jacksonville FL 32208-4163
Phone: (904) 707-1943
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X
Transportation Services / Transportation Broker 347E00000X
Nursing Service Related Providers / Adult Companion 372600000X
Nursing Service Related Providers / Home Health Aide 374U00000X
Nursing Service Related Providers / Personal Care Attendant 3747P1801X Florida

Profile Details

NPI number 1427658160
LBN Legal business name Jackson, John
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 30th, 2020
Last updated Jan 14th, 2021 - 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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