Jackson, Jamie Azure Lillian
Jackson, Jamie Azure Lillian is an sole proprietor health care provider with primary practice located at 3230 E Roosevelt St Apt 221 , Phoenix AZ 85008-5119. She recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Nursing Service Related Providers / Adult Companion, Agencies / In Home Supportive Care. Agencies / In Home Supportive Care is her primary health care specialty. Jackson, Jamie Azure Lillian can be contacted via phone (602) 638-7974.Contact Information
Primary practice address
3230 E Roosevelt St Apt 221
Phoenix AZ 85008-5119
Phone: (602) 638-7974
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Nursing Service Related Providers / Adult Companion | 372600000X | ||
| Agencies / In Home Supportive Care | 253Z00000X |
Profile Details
| NPI number | 1679227847 |
|---|---|
| LBN Legal business name | Jackson, Jamie Azure Lillian |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 7th, 2022 |
| Last updated | Feb 7th, 2022 - about 4 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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