Individual
MS. CECILIA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25722 KINGSLAND BLVD STE 206, KATY, TX 77494-2643
(346) 387-8002
Mailing address
25722 KINGSLAND BLVD STE 206, KATY, TX 77494-2643
(346) 387-8002
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
022547
TX
163WI0500X
Infusion Therapy Registered Nurse
022547
TX
163WW0000X
Wound Care Registered Nurse
022547
TX
251E00000X
Home Health Agency
Primary
022547
TX
253Z00000X
In Home Supportive Care Agency
022547
TX
Other
Enumeration date
07/14/2025
Last updated
12/03/2025
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