Jackson, Avis Shantrell

Jackson, Avis Shantrell is an sole proprietor health care provider with primary practice located at 1700 Nw 66Th St , Miami FL 33147-7444. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Jackson, Avis Shantrell can be contacted via phone (786) 333-4557.

Contact Information

Primary practice address
1700 Nw 66Th St Miami FL 33147-7444
Phone: (786) 333-4557
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X Florida

Profile Details

NPI number 1861030835
LBN Legal business name Jackson, Avis Shantrell
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2019
Last updated Dec 20th, 2019 - about 6 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.

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