NPI 1033940499

Abosede Jackson

Practitioner Home Health Agency Garland, TX

Practice location

Address: 5009 Peninsula Way APT 2202, Garland, TX 75043-4249
Phone: (214) 530-7936

Registered specialties

Home Health Agency Primary

Agencies Taxonomy 251E00000X

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Registry record

NPI: 1033940499
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Aug 2024
Record last updated: 8 Aug 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.