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JE-JE JACKSON NPI 1982148508


NPI Information

NPI: 1982148508
Provider Name: JE-JE JACKSON
Classification: Home Health - 251E00000X
Entity Type: Individual
Address:
5604 ASHLEIGH PARK DR
JACKSONVILLE, FL
ZIP 32244
Phone: (904) 428-3182
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Je-je Jackson is a home health in Jacksonville, FL. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. Je-je Jackson NPI is 1982148508. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5604 ASHLEIGH PARK DR
JACKSONVILLE, FL
ZIP 32244-821
Phone: (904) 428-3182
Fax: (904) 778-9707

The enumeration date for this NPI number is 12/16/2016 and was last updated on 12/20/2016.


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
1251C00000XDay Training, Developmentally Disabled ServicesNo
2251E00000XHome HealthYes
3372500000XChore ProviderNo
4372600000XAdult CompanionNo
5373H00000XDay Training/Habilitation SpecialistNo
63747P1801XTechnicianPersonal Care AttendantNo
7374U00000XHome Health AideNo
8376J00000XHomemakerNo
9376K00000XNurse's AideNo

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.