| 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 |