Jackson, Iesha La'Toya

Jackson, Iesha La'Toya is an sole proprietor health care provider with primary practice located at 17111 Harbour Vista Cir , Saint Augustine FL 32080-5113. She recently has 3 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Community/Behavioral Health, Agencies / In Home Supportive Care. Agencies / Community/Behavioral Health is her primary health care specialty. Jackson, Iesha La'Toya can be contacted via phone (904) 343-0228.

Contact Information

Primary practice address
17111 Harbour Vista Cir Saint Augustine FL 32080-5113
Phone: (904) 343-0228
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Community/Behavioral Health 251S00000X
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1780973388
LBN Legal business name Jackson, Iesha La'Toya
Credentials Certified in Nursing Administration (CNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2011
Last updated Jun 10th, 2024 - about 2 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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