Individual
MS. TONYA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1265 RIVER OAKS DR, NORFOLK, VA 23502-2024
(757) 769-9640
(757) 937-8771
Mailing address
1265 RIVER OAKS DR, NORFOLK, VA 23502-2024
(757) 769-9640
(757) 937-8771
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
VA
251E00000X
Home Health Agency
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
VA
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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