NPI 1023596624
Holli Lin Jackson
Practice location
- Address
- 4213 Wilson Ave, Des Moines, IA 50317-2868
- Phone
- (515) 867-7573
Registered specialties
Personal Care Attendant
Primary
Registry record
- NPI
- 1023596624
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 6 Aug 2018
- Record last updated
- 6 Aug 2018
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.