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Contact Information

KIERRA JACKSON
2611 SIERRA DRIVE APT. F
BELLEVILLE, IL62221
 Phone: 618-593-7833
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
Indicates primary specialty

NPI Profile & details for KIERRA JACKSON · (Female)

NPI # 1083133946
Status Active
Credentials
Entity Individual
Enumeration date 09/12/2017
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
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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