QIANA CAPRICE JACKSON NPI 1063192102

NPI Information

  • NPI: 1063192102
  • Provider Name: QIANA CAPRICE JACKSON
  • Classification: Homemaker - 376J00000X
  • Entity Type: Individual
  • Address: 480 RIDGE DR
    MEDINA, OH
    ZIP 44256
  • Phone: (216) 333-7365

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NPI Details

Qiana Caprice Jackson is a homemaker in Medina, OH. The provider is an individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. Qiana Caprice Jackson NPI is 1063192102. 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:

480 RIDGE DR
MEDINA, OH
ZIP 44256-707
Phone: (216) 333-7365

The enumeration date for this NPI number is 7/24/2023 and was last updated on 7/24/2023.

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
1172A00000XDriverNo
2376J00000XHomemakerYes

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: 11/21/2025

NPI Synchronization or Removal

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