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CRYSTAL JACKSON
NPI 1649019167
Home Health in Independence, KY

Active since May 23, 2024
2004 WOODCREST DR, INDEPENDENCE, KY 41051(919) 605-5622 Get Directions Write a Review

NPPES record last updated: May 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Crystal Jackson NPPES

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

CRYSTAL JACKSON (NPI 1649019167) is an individual home health provider in Independence, Kentucky and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1649019167
Entity TypeIndividualFemale
Primary Taxonomy251E00000X
Provider Legal NameCRYSTAL JACKSON
Location Address2004 WOODCREST DRIndependence, KY 41051-9135
Mailing Address2004 Woodcrest DrIndependence, KY 41051-9135 · (919) 605-5622
Phone(919) 605-5622
Sole ProprietorYes
Enumeration DateMay 23, 2024
NPPES CertifiedMay 23, 2024
✔ NPI 1649019167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
2004 WOODCREST DR, Independence, KY 41051
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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 Crystal Jackson's NPI number?

The NPI number for Crystal Jackson is 1649019167. It was assigned to this individual provider in the NPPES registry on May 23, 2024.

Where is Crystal Jackson located?

Crystal Jackson practices at 2004 Woodcrest Dr, Independence, KY 41051. The listed phone number is (919) 605-5622.

What is Crystal Jackson's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Crystal Jackson was last updated on May 23, 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.