National Provider Identifier Database

MONIFA C JACKSON, HNT/SNT – NPI #1265316020
Home Health

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.


Contact Information

MONIFA C JACKSON, HNT/SNT
2700 25TH AVE
GULFPORT, MS39501
Phone: 228-222-7338
Fax:
Website:
Specialty Taxonomy Code
* Home Health 251E00000X

* Indicates primary specialty

NPI Profile & details for MONIFA C JACKSON

NPI Number 1265316020
Credentials HNT/SNT
Entity Individual
Enumeration date 08/04/2025
Last updated 08/04/2025 - About 10 months ago
Sole proprietor1 Yes
Identifiers n/a
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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