Jackson, Tillina Ann

Jackson, Tillina Ann is an sole proprietor health care provider with primary practice located at 5389 Bonnie Hill Rd , Chattahoochee FL 32324-3020. She recently has only one registered license in Respite Care Facility / Respite Care, which is considered as her primary health care specialty. Jackson, Tillina Ann can be contacted via phone (850) 491-3234.

Contact Information

Primary practice address
5389 Bonnie Hill Rd Chattahoochee FL 32324-3020
Phone: (850) 491-3234
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respite Care Facility / Respite Care 385H00000X

Profile Details

NPI number 1316458714
LBN Legal business name Jackson, Tillina Ann
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2017
Last updated Oct 12th, 2017 - about 9 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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