Individual
MS. ELYSA ERIN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17920 HUFFMEISTER RD STE 250, CYPRESS, TX 77429-4284
(281) 904-5416
Mailing address
15410 PATTINGTON CYPRESS DR, CYPRESS, TX 77433-4792
(281) 904-5416
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
TX
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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