Crystal Jackson
NPI #1649019167 in Independence, Kentucky
Provider Information
- NPI Number
- 1649019167
- Entity Type
- Individual
- Name
- Crystal Jackson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Home Health
- Enumeration Date
- May 23, 2024
- Last Updated
- May 23, 2024
Practice Location
- Address
- 2004 WOODCREST DR
- City
- Independence
- State
- Kentucky
- ZIP Code
- 41051-9135
- Phone
- (919) 605-5622
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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