ANDREW JAY JACKSON
NPI 1093279572
Technician - Personal Care Attendant in Jacksonville, TX

Q: What is Andrew Jackson's NPI number?

The NPI number for Andrew Jackson is 1093279572. It was assigned to this individual provider in the NPPES registry on January 29, 2019.

Q: What is Andrew Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Andrew Jackson was last updated on January 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since January 29, 2019

125 COUNTY ROAD 4209, JACKSONVILLE, TX 75766(903) 284-1056 Get Directions Write a Review

NPPES record last updated: January 29, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Andrew Jay Jackson NPPES

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

ANDREW JAY JACKSON (NPI 1093279572) is an individual personal care attendant in Jacksonville, Texas and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1093279572

Entity TypeIndividualMale

Primary Taxonomy3747P1801X

Provider Legal NameANDREW JAY JACKSON

Location Address125 COUNTY ROAD 4209Jacksonville, TX 75766-5574

Mailing Address125 County Road 4209Jacksonville, TX 75766-5574 · (903) 284-1056

Phone(903) 284-1056

Sole ProprietorNo

Enumeration DateJanuary 29, 2019

✔ NPI 1093279572 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

125 COUNTY ROAD 4209, Jacksonville, TX 75766

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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 Andrew Jackson's NPI number?

The NPI number for Andrew Jackson is 1093279572. It was assigned to this individual provider in the NPPES registry on January 29, 2019.

Where is Andrew Jackson located?

Andrew Jackson practices at 125 County Road 4209, Jacksonville, TX 75766. The listed phone number is (903) 284-1056.

What is Andrew 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 Andrew Jackson was last updated on January 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.