Individual
ANGELICA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9910 N 48TH ST STE 108B, OMAHA, NE 68152-1548
(402) 799-1799
(402) 819-0949
Mailing address
12924 D PLZ, OMAHA, NE 68144-5312
(402) 990-3750
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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