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DONNITA KAYE JACKSON NPI 1689924433


NPI Information

NPI: 1689924433
Provider Name: DONNITA KAYE JACKSON
Classification: Residential Treatment Facility, Physical Disabilities - 320700000X
Entity Type: Individual
Address:
1210 SOUTH TRACE
AUSTIN, TX
ZIP 78745
Phone: (512) 888-5985
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Donnita Kaye Jackson is a residential treatment facility physical disabilities in Austin, TX. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. Donnita Kaye Jackson NPI is 1689924433. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1210 SOUTH TRACE
AUSTIN, TX
ZIP 78745
Phone: (512) 888-5985

The enumeration date for this NPI number is 9/19/2012 and was last updated on 9/12/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320700000XResidential Treatment Facility, Physical DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.