AMELIA JACKSON NPI 1134549751

NPI Information

NPI: 1134549751
Provider Name: AMELIA JACKSON
Classification: Home Health Aide - 374U00000X
Entity Type: Individual
Address:
23636 MICHIGAN AVE # 487
DEARBORN, MI
ZIP 48124
Phone: (419) 788-1199
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Amelia Jackson is a home health aide in Dearborn, MI. 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. Amelia Jackson NPI is 1134549751. 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:

23636 MICHIGAN AVE # 487
DEARBORN, MI
ZIP 48124-910
Phone: (419) 788-1199
Fax: (313) 914-5853

The enumeration date for this NPI number is 4/22/2014 and was last updated on 4/22/2014.

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	License Number	License State	Primary
1	372600000X	Adult Companion	E4197J	MICHIGAN	No
2	376K00000X	Nurse's Aide	E4197J	MICHIGAN	No
3	374U00000X	Home Health Aide	E4197J	MICHIGAN	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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