| NPI | 1053971713 |
|---|---|
| Professional Name | EARNEST B JACKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2019-06-15 |
| Last Update Date | 2019-06-15 |