# KAYLA LYNN JACKSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1134518392
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 347C00000X | Private Vehicle | 0112400 | OH | — |
| 376J00000X | Homemaker | 0112400 | OH | Yes |
| 376K00000X | Nurse's Aide | 401084350510 | OH | — |
| 385H00000X | Respite Care | 0112400 | OH | — |

## Other

- **Enumeration date:** 01/12/2015
- **Last updated:** 01/12/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0112400 | — | OH |
| 01 | — | 401084350510 | STATE TESTED NURSE AIDE | OH |