NPI 1003668203

Tamika Jackson

Practitioner Personal Care Attendant Southfield, MI

Practice location

Address: 24123 Greenfield Rd # 311207, Southfield, MI 48075-3125
Phone: (313) 457-4114
Mailing address: 24123 Greenfield Rd STE 311, Southfield, MI 48075-3124

Registered specialties (6)

Personal Care Attendant Primary

Nursing Service Related Providers Taxonomy 3747P1801X

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Home Health Agency

Agencies Taxonomy 251E00000X

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In Home Supportive Care Agency

Agencies Taxonomy 253Z00000X

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Adult Day Care Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QA0600X

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Adult Care Home Facility

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

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Chore Provider

Nursing Service Related Providers Taxonomy 372500000X

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Registry record

NPI: 1003668203
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Apr 2024
Record last updated: 2 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.