Jackson, Clissie Terersa

Jackson, Clissie Terersa is an individual health care provider with primary practice located at 208 74Th St N , Birmingham AL 35206-4261. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Jackson, Clissie Terersa can be contacted via phone (313) 358-0035.

Contact Information

Primary practice address
208 74Th St N Birmingham AL 35206-4261
Phone: (313) 358-0035
Fax: (186) 665-9907
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X 119405B Missouri

Profile Details

NPI number 1467721829
LBN Legal business name Jackson, Clissie Terersa
Credentials HOME CARE
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2011
Last updated Dec 14th, 2011 - about 15 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.

Request for update

Popular Providers