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Contact Information

JOELISA W JACKSON
5118 JUST ST NE
WASHINGTON, DC20019-5560
 Phone: 202-802-1644
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Personal Care Attendant

3747P1801X
 

Emergency Medical Technician, Basic

146N00000X
Indicates primary specialty

NPI Profile & details for JOELISA W JACKSON · (Female)

NPI # 1679261218
Status Active
Credentials
Entity Individual
Enumeration date 05/01/2023
Last updated 05/01/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • DC License # 1256-0428-1822
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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