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HOLLI LIN JACKSON
NPI 1023596624
Technician - Personal Care Attendant in Des Moines, IA

Active since August 06, 2018
4213 WILSON AVE, DES MOINES, IA 50317(515) 867-7573 Get Directions Write a Review

NPPES record last updated: August 6, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Holli Lin Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLLI LIN JACKSON (NPI 1023596624) is an individual personal care attendant in Des Moines, Iowa and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1023596624
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameHOLLI LIN JACKSON
Location Address4213 WILSON AVEDes Moines, IA 50317-2868
Mailing Address4213 Wilson AveDes Moines, IA 50317-2868 · (515) 867-7573
Phone(515) 867-7573
Sole ProprietorYes
Enumeration DateAugust 6, 2018
✔ NPI 1023596624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
4213 WILSON AVE, Des Moines, IA 50317
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holli Jackson's NPI number?

The NPI number for Holli Jackson is 1023596624. It was assigned to this individual provider in the NPPES registry on August 6, 2018.

Where is Holli Jackson located?

Holli Jackson practices at 4213 Wilson Ave, Des Moines, IA 50317. The listed phone number is (515) 867-7573.

What is Holli Jackson's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Holli Jackson was last updated on August 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.