Jackson, Ashanti
Jackson, Ashanti is an sole proprietor health care provider with primary practice located at 11200 Tara Glynn Dr , Hampton GA 30228-2686. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Jackson, Ashanti can be contacted via phone (314) 386-7137.Contact Information
Primary practice address
11200 Tara Glynn Dr
Hampton GA 30228-2686
Phone: (314) 386-7137
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 2018040059 | Missouri |
Profile Details
| NPI number | 1023719812 |
|---|---|
| LBN Legal business name | Jackson, Ashanti |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 17th, 2023 |
| Last updated | Mar 17th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Wright, Suzanne M
1401 Johnston Willis Dr , Richmond VA 23235-4730 -
Johnson, Latreasia
1901 Elm Park Dr , Hampton GA 30228-5519 -
Eisenberg, Kathryn L
5301 E Huron River Dr Ste C139, Ypsilanti MI 48197-1051 -
Zinder, Matthew D
3 Greenwood Place Suite 300, Pikesville NA 21208 -
Nicastro, Beth M
94 Olean St Ste 210, East Aurora NY 14052-2531 -
Tuck, Sheila M
523 Andrews Dr , Hampton GA 30228-3424 -
Adams, Cozy Kenya
504 Sedona Loop # 793 , Hampton GA 30228-2554 -
Gomez, Harold Augusto
1220 S Glendora Ave , West Covina CA 91790-4924