ALICE JACKSON
NPI 1366090813
Technician - Attendant Care Provider in Moreland, GA

Q: What is Alice Jackson's NPI number?

The NPI number for Alice Jackson is 1366090813. It was assigned to this individual provider in the NPPES registry on August 28, 2019.

Q: What is Alice Jackson's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

Q: When was this NPI record last updated?

The NPPES record for Alice Jackson was last updated on August 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 August 28, 2019

1389 GORDON RD, MORELAND, GA 30259(770) 251-8209 Get Directions Write a Review

NPPES record last updated: August 28, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Alice Jackson NPPES

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

ALICE JACKSON (NPI 1366090813) is an individual attendant care provider provider in Moreland, Georgia and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1366090813

Entity TypeIndividualFemale

Primary Taxonomy3747A0650X

Provider Legal NameALICE JACKSON

Location Address1389 GORDON RDMoreland, GA 30259-2541

Mailing Address1389 Gordon RdMoreland, GA 30259-2541

Phone(770) 251-8209

Sole ProprietorYes

Enumeration DateAugust 28, 2019

✔ NPI 1366090813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers

Taxonomy Code3747A0650X

Definition

An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

1389 GORDON RD, Moreland, GA 30259

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Other Identifiers 1

Other0000000Department Of Va Affairs

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 Alice Jackson's NPI number?

The NPI number for Alice Jackson is 1366090813. It was assigned to this individual provider in the NPPES registry on August 28, 2019.

Where is Alice Jackson located?

Alice Jackson practices at 1389 Gordon Rd, Moreland, GA 30259. The listed phone number is (770) 251-8209.

What is Alice Jackson's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

When was this NPI record last updated?

The NPPES record for Alice Jackson was last updated on August 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.