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MACKENZIE CORY-RAE JACKSON
NPI 1255176186
Technician - Personal Care Attendant in Fargo, ND

Active since July 01, 2024
2302 8TH ST N, FARGO, ND 58102(701) 200-4573 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mackenzie Cory-rae Jackson NPPES

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

MACKENZIE CORY-RAE JACKSON (NPI 1255176186) is an individual personal care attendant in Fargo, North Dakota and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1255176186
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameMACKENZIE CORY-RAE JACKSON
Location Address2302 8TH ST NFargo, ND 58102-5022
Mailing Address2302 8th St NFargo, ND 58102-5022 · (701) 200-4573
Phone(701) 200-4573
Sole ProprietorNo
Enumeration DateJuly 1, 2024
NPPES CertifiedJune 20, 2024
✔ NPI 1255176186 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
2302 8TH ST N, Fargo, ND 58102
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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 Mackenzie Jackson's NPI number?

The NPI number for Mackenzie Jackson is 1255176186. It was assigned to this individual provider in the NPPES registry on July 1, 2024.

Where is Mackenzie Jackson located?

Mackenzie Jackson practices at 2302 8th St N, Fargo, ND 58102. The listed phone number is (701) 200-4573.

What is Mackenzie 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 Mackenzie Jackson was last updated on July 1, 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.