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CLISSIE TERERSA JACKSON HOME CARE
NPI 1467721829
Nurse's Aide in Birmingham, AL

Active since December 14, 2011
208 74TH ST N, BIRMINGHAM, AL 35206(313) 358-0035(186) 665-9907 Get Directions Write a Review

NPPES record last updated: December 14, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clissie Terersa Jackson Home Care NPPES

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

CLISSIE TERERSA JACKSON HOME CARE (NPI 1467721829) is an individual nurse's aide in Birmingham, Alabama, licensed in Missouri (119405B) and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1467721829
Entity TypeIndividualFemale
Primary Taxonomy376K00000X
Provider Legal NameCLISSIE TERERSA JACKSONCredential: HOME CARE
Location Address208 74TH ST NBirmingham, AL 35206-4261
Mailing Address208 74th St NBirmingham, AL 35206-4261 · (313) 358-0035 · Fax (186) 665-9907
Phone(313) 358-0035
Fax(186) 665-9907
Sole ProprietorNo
Enumeration DateDecember 14, 2011
✔ NPI 1467721829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse's AideNursing Service Related Providers
Taxonomy Code376K00000X
License✔ Licensed in MO · 119405B
Definition
(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.
208 74TH ST N, Birmingham, AL 35206
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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 Clissie Jackson's NPI number?

The NPI number for Clissie Jackson is 1467721829. It was assigned to this individual provider in the NPPES registry on December 14, 2011.

Where is Clissie Jackson located?

Clissie Jackson practices at 208 74th St N, Birmingham, AL 35206. The listed phone number is (313) 358-0035.

What is Clissie Jackson's specialty?

The primary specialty registered for this NPI is Nurse's Aide with taxonomy code 376K00000X.

When was this NPI record last updated?

The NPPES record for Clissie Jackson was last updated on December 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.