Ms. Kennie Nicole Jackson - Indianapolis, IN

Ms. Kennie Nicole Jackson

Driver in Indianapolis, Indiana

NPI 1629380316

Kennie Nicole Jackson is a Driver based in Indianapolis, IN. Kennie Nicole Jackson practices in Indianapolis, IN. The NPI Number for Kennie Nicole Jackson is 1629380316 and holds a License No. (Indiana).

The current practice location address for Kennie Nicole Jackson is 315 Palmyra Dr, Indianapolis, IN and can be reached out via phone at 317-909-0320.

Location: 315 Palmyra Dr, Indianapolis, IN, 46239-9170

NPI Number

1629380316

Provider Name

Kennie Nicole Jackson

Credential

Provider Entity Type

Individual

Gender

Female

Address

315 Palmyra Dr, Indianapolis, IN, 46239-9170

Phone Number

317-909-0320

Fax Number

Provider Enumeration Date

07/09/2010

Last Update Date

09/14/2024

Address

315 Palmyra Dr

City

Indianapolis

State

Indiana

Zip

46239-9170

Phone Number

317-909-0320

Fax Number

Address

315 Palmyra Dr

City

Indianapolis

State

Indiana

Zip

46239-9170

Phone Number

317-909-0320

Fax Number

Type

Other Service Providers

Classification

Driver

Speciality

Taxonomy

172A00000X

License No.

2400290281 (Indiana)

Definition

A person employed to operate a motor vehicle as a carrier of persons or property.

Type

Nursing Service Related Providers

Classification

Adult Companion

Speciality

Taxonomy

372600000X

License No.

()

Definition

An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.

Type

Nursing Service Related Providers

Classification

Homemaker

Speciality

Taxonomy

376J00000X

License No.

()

Definition

An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.

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