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Contact Information

CHARAE JACKSON
6057 E SUNRISE CIR
FLORENCE, AZ85132-7998
 Phone: 623-274-4036
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health Aide

374U00000X
Indicates primary specialty

NPI Profile & details for CHARAE JACKSON · (Female)

NPI Number 1861235756
Status Active
Credentials
Entity Individual
Enumeration date 06/17/2024
Last updated 06/17/2024 - More than a year 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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