Individual
JARRELL T JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1528 PALMETTO ST, APT A, NORFOLK, VA 23502-1528
(757) 741-7355
Mailing address
1528 PALMETTO ST, APT A, NORFOLK, VA 23502-1528
(757) 741-7355
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/29/2016
Last updated
01/29/2016
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