Jackson, Tasheka B
Jackson, Tasheka B is an sole proprietor health care provider with primary practice located at 604 W 18Th St Apt 1 , Jacksonville FL 32206-2748. She recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as her primary health care specialty. Jackson, Tasheka B can be contacted via phone (904) 405-9724.Contact Information
Primary practice address
604 W 18Th St Apt 1
Jacksonville FL 32206-2748
Phone: (904) 405-9724
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Homemaker | 376J00000X | 235410 | Florida |
Profile Details
| NPI number | 1083191696 |
|---|---|
| LBN Legal business name | Jackson, Tasheka B |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2018 |
| Last updated | Jul 26th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083191696 | NPPES |
| Florida | MEDICAID | 235410 |
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