Veronica Lynn Jackson

NPI 1083059661 - Home Health Aide - 374U00000X

NPI Details
NPI 1083059661
Gender Female
Enumeration Date 05/08/2013
Last Updated 05/08/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
414A BIG HURRICANE CREEK ROAD
FORT GAY WV, 25514, US
Phone (304) 962-6193
Fax
Business Location
PO BOX 332
FORT GAY WV, 25514-0332, US
Phone (304) 962-6193
Fax
Toxanomy
Taxonomy Code 374U00000X
License State West Virginia
License Number UD000245706001
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According to our database, Veronica Lynn Jackson NPI is 1083059661, taxonomy code is 374U00000X and license number is UD000245706001, license state is located at West Virginia. Veronica Lynn Jackson physically located at 414a Big Hurricane Creek Road, Fort Gay WV, 25514. NPI Number Veronica Lynn Jackson has the Individual type.

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1083059661 NPI number is provided on an as is basis without warranty of any kind. 1083059661 is maintained by the National Plan & Provider Enumeration System. The contents of Veronica Lynn Jackson are for informational purposes only.