Jackson, Tatia Patrice

Jackson, Tatia Patrice is an individual health care provider with primary practice located at 3448 Pinehill Dr , Decatur GA 30032-3031. She recently has 4 registered licenses in different health care specialties including Nursing Service Related Providers / Adult Companion, Nursing Service Related Providers / Home Health Aide, Nursing Service Related Providers / Homemaker, Nursing Service Related Providers / Chore Provider. Nursing Service Related Providers / Chore Provider is her primary health care specialty. Jackson, Tatia Patrice can be contacted via phone (414) 732-8636.

Contact Information

Primary practice address
3448 Pinehill Dr Decatur GA 30032-3031
Phone: (414) 732-8636
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Adult Companion 372600000X Georgia
Nursing Service Related Providers / Home Health Aide 374U00000X Georgia
Nursing Service Related Providers / Homemaker 376J00000X Georgia
Nursing Service Related Providers / Chore Provider 372500000X Georgia

Profile Details

NPI number 1538708268
LBN Legal business name Jackson, Tatia Patrice
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2019
Last updated Dec 28th, 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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