Ostassia Jackson

NPI #1083342315 in Mequon, Wisconsin

Provider Information

NPI Number: 1083342315
Entity Type: Individual
Name: Ostassia Jackson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Home Health
Enumeration Date: Aug 14, 2022
Last Updated: Aug 14, 2022

Practice Location

Address: 11431 N PORT WASHINGTON RD STE 206
City: Mequon
State: Wisconsin
ZIP Code: 53092-3462
Phone: (414) 319-9195

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Lactation Consultant, Non-RN	174N00000X
Lodging	177F00000X
Homemaker	376J00000X
Nurse's Aide	376K00000X
Respite Care	385H00000X
Home Health	251E00000X	Primary

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