Jackson, Damita
Jackson, Damita is an sole proprietor health care provider with primary practice located at 1616 Ne 81St St , Kansas City MO 64118-8245. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, Nursing Service Related Providers / Nurse's Aide. Nursing Service Related Providers / Nurse's Aide is her primary health care specialty. Jackson, Damita can be contacted via phone (816) 783-7938.Contact Information
Primary practice address
1616 Ne 81St St
Kansas City MO 64118-8245
Phone: (816) 783-7938
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Surgical Technologist | 246ZS0410X | 189164 | Virginia |
| Nursing Service Related Providers / Nurse's Aide | 376K00000X | 100018A | Missouri |
Profile Details
| NPI number | 1982366845 |
|---|---|
| LBN Legal business name | Jackson, Damita |
| Credentials | Certified in Nursing Administration (CNA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 7th, 2021 |
| Last updated | Oct 7th, 2021 - about 5 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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