Jackson, Priscilla Earline

Jackson, Priscilla Earline is an sole proprietor health care provider with primary practice located at 2720 S Highland Ave Apt 501 , Lombard IL 60148-5368. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Other Service Providers / Naturopath. Other Service Providers / Naturopath is her primary health care specialty. Jackson, Priscilla Earline can be contacted via phone (630) 741-2846.

Contact Information

Primary practice address
2720 S Highland Ave Apt 501 Lombard IL 60148-5368
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X
Other Service Providers / Naturopath 175F00000X 1130 Minnesota

Profile Details

NPI number 1790533743
LBN Legal business name Jackson, Priscilla Earline
Credentials NMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2024
Last updated May 7th, 2024 - about 7 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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