Jackson, Naomi

Jackson, Naomi is an sole proprietor health care provider with primary practice located at 7691 62Nd St S , Cottage Grove MN 55016-4676. She recently has 3 registered licenses in different health care specialties including Agencies / Foster Care Agency, Agencies / In Home Supportive Care, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is her primary health care specialty. Jackson, Naomi can be contacted via phone (651) 447-0398.

Contact Information

Primary practice address
7691 62Nd St S Cottage Grove MN 55016-4676
Phone: (651) 447-0398
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Foster Care Agency 253J00000X 1114922 Minnesota
Agencies / In Home Supportive Care 253Z00000X 1112024 Minnesota
Agencies / Community/Behavioral Health 251S00000X 1112024 Minnesota

Profile Details

NPI number 1366229122
LBN Legal business name Jackson, Naomi
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2023
Last updated Sep 13th, 2023 - about 2 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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