IKISHIA N JACKSON

PHILADELPHIA, PA
NPI1912357682
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251E00000X Home Health
(Licence: PA  652238)
Additional Taxonomies163W00000X Registered Nurse
(Licence: PA  06650501)
163WH0200X Registered Nurse, Home Health
(Licence: PA  06650501)
251B00000X Case Management
(Licence: PA  06650501)
251E00000X Home Health
(Licence: PA  06650501)
282J00000X Religious Nonmedical Health Care Institution
(Licence: PA  06650501)
343900000X Non-emergency Medical Transport (VAN)
(Licence: PA  06650501)
374U00000X Home Health Aide
(Licence: PA  06650501)
376J00000X Homemaker
(Licence: PA  06650501)
385H00000X Respite Care
(Licence: PA  06650501)
Enumeration Date2016-06-14
Last Update Date2021-07-27
Business Address
Ms. IKISHIA N JACKSON R.N
625 E GIRARD AVE APT 1
PHILADELPHIA, PA 19125-3400
Phone number: 267-439-0966
Mailing Address
Ms. IKISHIA N JACKSON R.N
625 E GIRARD AVE APT 1
PHILADELPHIA, PA 19125-3400
Phone number: 267-439-0966