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Holly Marie Jackson
Personal Care Attendant in Tipton, Missouri
NPI 1689275802

Holly Marie Jackson is a Personal Care Attendant based in Tipton, MO and is specialized in Personal Care Attendant. Holly Marie Jackson practices in Tipton, MO. The NPI Number for Holly Marie Jackson is 1689275802 and holds a License No. (Missouri).

The current practice location address for Holly Marie Jackson is 448 W Cooper St, Tipton, MO and can be reached out via phone at 573-353-1292.

Location: 448 W Cooper St, Tipton, MO, 65081-8217
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689275802
Provider Name
Holly Marie Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
448 W Cooper St, Tipton, MO, 65081-8217
Phone Number
573-353-1292
Fax Number
Provider Enumeration Date
11/04/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
448 W Cooper St
City
Tipton
State
Missouri
Zip
65081-8217
Phone Number
573-353-1292
Fax Number
person
Provider Business Mailing Address Details
Address
448 W Cooper St
City
Tipton
State
Missouri
Zip
65081-8217
Phone Number
573-353-1292
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Personal Care Attendant
Taxonomy
3747P1801X
License No.
()
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
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