NPI 1255706438

Chad Jackson

Practitioner Home Health Aide Tuscaloosa, AL

Practice location

Address: 2021 40th Ave, Tuscaloosa, AL 35401-3930
Phone: (205) 523-7429

Registered specialties (5)

Home Health Aide Primary

Nursing Service Related Providers Taxonomy 374U00000X

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Chore Provider

Nursing Service Related Providers Taxonomy 372500000X

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Adult Companion

Nursing Service Related Providers Taxonomy 372600000X

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Personal Care Attendant

Nursing Service Related Providers Taxonomy 3747P1801X

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Nurse's Aide

Nursing Service Related Providers Taxonomy 376K00000X

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Registry record

NPI: 1255706438
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Dec 2015
Record last updated: 14 Dec 2015

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.