Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. HOLLY MARIE JACKSON
NPI 1689275802
Technician - Personal Care Attendant in Tipton, MO

Q: What is Holly Jackson's NPI number?

The NPI number for Holly Jackson is 1689275802. It was assigned to this individual provider in the NPPES registry on November 4, 2020. The provider is also known as Mrs. Holly Marie Jackson.

Q: What is Holly 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 Holly Jackson was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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 November 04, 2020

29954 BAHNER QUARRY RD, TIPTON, MO 65081(573) 353-1292 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Holly Marie Jackson NPPES

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

MRS. HOLLY MARIE JACKSON (NPI 1689275802) is an individual personal care attendant in Tipton, Missouri and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1689275802

Entity TypeIndividualFemale

Primary Taxonomy3747P1801X

Provider Legal NameMRS. HOLLY MARIE JACKSON

Location Address29954 BAHNER QUARRY RDTipton, MO 65081-3317

Mailing Address29954 Bahner Quarry RdTipton, MO 65081-3317 · (573) 353-1292

Phone(573) 353-1292

Sole ProprietorNo

Enumeration DateNovember 4, 2020

Last NPPES UpdateJune 30, 2026

NPPES CertifiedJune 30, 2026

✔ NPI 1689275802 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

29954 BAHNER QUARRY RD, Tipton, MO 65081

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Other Names 1

Former Name (1)Mrs. Holly Marie Jackson

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STAY AT HOME CARE, LLC

Home Health Aide

29954 BAHNER QUARRY RD
TIPTON, MO 65081

Moniteau County (573) 353-1292

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 Holly Jackson's NPI number?

The NPI number for Holly Jackson is 1689275802. It was assigned to this individual provider in the NPPES registry on November 4, 2020. The provider is also known as Mrs. Holly Marie Jackson.

Where is Holly Jackson located?

Holly Jackson practices at 29954 Bahner Quarry Rd, Tipton, MO 65081. The listed phone number is (573) 353-1292.

What is Holly 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 Holly Jackson was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.