Jackson, Priscilla Lynette

Jackson, Priscilla Lynette is an sole proprietor health care provider with primary practice located at 1718 S Heights Ave , Youngstown OH 44502-2946. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Jackson, Priscilla Lynette can be contacted via phone (330) 788-3152.

Contact Information

Primary practice address
1718 S Heights Ave Youngstown OH 44502-2946
Phone: (330) 788-3152
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X 322277300102 Ohio

Profile Details

NPI number 1437485695
LBN Legal business name Jackson, Priscilla Lynette
Credentials AIDE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 22nd, 2009
Last updated Oct 22nd, 2009 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1437485695 NPPES
Ohio MEDICAID 2973466

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