Individual
NAKETA RENEE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5233 HOHMAN AVE, HAMMOND, IN 46320-1742
(219) 267-1779
Mailing address
5233 HOHMAN AVE STE 116, HAMMOND, IN 46320-1700
(219) 267-1779
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
22-015617-1
IN
Other
Enumeration date
03/24/2023
Last updated
07/05/2024
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