Individual
AMY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
878 W HILL RD, GRAFTON, WV 26354-7636
(304) 290-5181
Mailing address
878 W HILL RD, GRAFTON, WV 26354-7636
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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