Individual
JAMIE KAY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7409 PATRICK HENRY CT, APT. 8, LOUISVILLE, KY 40214-5239
(502) 876-4548
Mailing address
7409 PATRICK HENRY CT, APT. 8, LOUISVILLE, KY 40214-5239
(502) 876-4548
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
50178368
KY
376K00000X
Nurse's Aide
Primary
50178368
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50178368
KENTUCKY NURSE AIDE REGISTRY
KY
Enumeration date
09/10/2012
Last updated
09/10/2012
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