Individual
BIANCA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1611 BENNING RD NE APT 412, WASHINGTON, DC 20002-0377
(202) 977-6277
Mailing address
1720 W VIRGINIA AVE NE APT 2, WASHINGTON, DC 20002-2343
(202) 977-6277
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
DC
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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