Individual
TALISHA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7314 MONARCH DR, KATY, TX 77493-4393
(832) 986-2901
Mailing address
7314 MONARCH DR, KATY, TX 77493-4393
(832) 986-2901
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
884807
TX
Other
Enumeration date
09/11/2023
Last updated
09/12/2023
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