Jackson, Renetia

Jackson, Renetia is an sole proprietor health care provider with primary practice located at 1210 Spruce Street , Farmington MN 55024. She recently has only one registered license in Nursing Service Related Providers / Attendant Care Provider, which is considered as her primary health care specialty. Jackson, Renetia can be contacted via phone (612) 702-8541.

Contact Information

Primary practice address
1210 Spruce Street Farmington MN 55024
Phone: (612) 702-8541
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Attendant Care Provider 3747A0650X

Profile Details

NPI number 1932758158
LBN Legal business name Jackson, Renetia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 10th, 2019
Last updated Sep 10th, 2019 - about 6 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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