Individual
NECHELLE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1312 JENNIE SCHER RD, RICHMOND, VA 23231-1010
(804) 591-7368
Mailing address
4445 CORPORATION LN STE 264, VIRGINIA BEACH, VA 23462-3671
(757) 204-2691
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
VA
374U00000X
Home Health Aide
—
—
Other
Enumeration date
07/03/2023
Last updated
08/03/2023
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