MRS. TINA MARIE JACKSON
NPI 1194568907
Technician - Personal Care Attendant in Deltona, FL

Q: What is Tina Jackson's NPI number?

The NPI number for Tina Jackson is 1194568907. It was assigned to this individual provider in the NPPES registry on June 18, 2024.

Q: What is Tina 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 Tina Jackson was last updated on June 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 June 18, 2024

671 ANTOINETTE ST, DELTONA, FL 32725(386) 848-6596 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Tina Marie Jackson NPPES

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

MRS. TINA MARIE JACKSON (NPI 1194568907) is an individual personal care attendant in Deltona, Florida and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1194568907

Entity TypeIndividualFemale

Primary Taxonomy3747P1801X

Provider Legal NameMRS. TINA MARIE JACKSON

Location Address671 ANTOINETTE STDeltona, FL 32725-2620

Mailing Address42215 Dogwood AveDeland, FL 32720-7124 · (386) 873-8523 · Fax (386) 789-8005

Phone(386) 848-6596

Sole ProprietorNo

Enumeration DateJune 18, 2024

NPPES CertifiedJune 18, 2024

✔ NPI 1194568907 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

671 ANTOINETTE ST, Deltona, FL 32725

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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 Tina Jackson's NPI number?

The NPI number for Tina Jackson is 1194568907. It was assigned to this individual provider in the NPPES registry on June 18, 2024.

Where is Tina Jackson located?

Tina Jackson practices at 671 Antoinette St, Deltona, FL 32725. The listed phone number is (386) 848-6596.

What is Tina 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 Tina Jackson was last updated on June 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.