NPI 1104670603

Tony Knight-Jackson

Practitioner Attendant Care Provider Colorado Springs, CO

Practice location

Address: 3802 Half Turn Rd APT 108, Colorado Springs, CO 80917-2411
Phone: (719) 306-8092

Registered specialties

Attendant Care Provider Primary

Nursing Service Related Providers Taxonomy 3747A0650X

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Registry record

NPI: 1104670603
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Apr 2024
Record last updated: 12 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.