Individual
INESHA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10158 GRAND PLZ, OMAHA, NE 68134-2537
(402) 515-0420
Mailing address
3128 FONTENELLE BLVD, OMAHA, NE 68104-3777
(402) 332-8043
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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