| NPI | 1891153219 |
|---|---|
| Professional Name | JARRELL T JACKSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 372600000X Adult Companion |
| 3747P1801X Technician Personal Care Attendant | |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2016-01-29 |