Jackson, Judy L

Jackson, Judy L is an sole proprietor health care provider with primary practice located at 40326 State Route 681 , Shade OH 45776-9518. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Driver, Nursing Service Related Providers / Homemaker, Nursing Service Related Providers / Personal Care Attendant. Nursing Service Related Providers / Personal Care Attendant is her primary health care specialty. Jackson, Judy L can be contacted via phone (740) 992-1797.

Contact Information

Primary practice address
40326 State Route 681 Shade OH 45776-9518
Phone: (740) 992-1797
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X
Nursing Service Related Providers / Homemaker 376J00000X
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1396334660
LBN Legal business name Jackson, Judy L
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2021
Last updated Jan 12th, 2021 - 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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