AVIS SHANTRELL JACKSON NPI 1861030835

NPI Information

NPI: 1861030835
Provider Name: AVIS SHANTRELL JACKSON
Classification: Home Health Aide - 374U00000X
Entity Type: Individual
Address:
1700 NW 66TH ST
MIAMI, FL
ZIP 33147
Phone: (786) 333-4557
Get Directions

Avis Shantrell Jackson is a home health aide in Miami, FL. The provider is a person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. Avis Shantrell Jackson NPI is 1861030835. The provider is registered as an individual entity type and is a multiple single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1700 NW 66TH ST
MIAMI, FL
ZIP 33147-444
Phone: (786) 333-4557

The enumeration date for this NPI number is 12/20/2019 and was last updated on 12/20/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	374U00000X	Home Health Aide			FLORIDA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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