Individual
CARLOTTA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2308 N 62ND ST, OMAHA, NE 68104-4022
(402) 303-9448
Mailing address
2308 N 62ND ST, OMAHA, NE 68104-4022
(402) 303-9448
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
NE
3747P1801X
Personal Care Attendant
—
NE
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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