ANNIE JACKSON
NPI 1700338712
Home Health Aide in Phoenix, IL

Q: What is Annie Jackson's NPI number?

The NPI number for Annie Jackson is 1700338712. It was assigned to this individual provider in the NPPES registry on October 26, 2016.

Q: What is Annie Jackson's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

Q: When was this NPI record last updated?

The NPPES record for Annie Jackson was last updated on October 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 October 26, 2016

517 E 153RD ST, PHOENIX, IL 60426(708) 513-2866 Get Directions Write a Review

NPPES record last updated: October 26, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Annie Jackson NPPES

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

ANNIE JACKSON (NPI 1700338712) is an individual home health aide in Phoenix, Illinois, licensed in Illinois (043068868) and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1700338712

Entity TypeIndividualFemale

Primary Taxonomy374U00000X

Provider Legal NameANNIE JACKSON

Location Address517 E 153RD STPhoenix, IL 60426-2308

Mailing Address517 E 153rd StPhoenix, IL 60426-2308 · (708) 513-2866

Phone(708) 513-2866

Sole ProprietorNo

Enumeration DateOctober 26, 2016

✔ NPI 1700338712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome Health AideNursing Service Related Providers

Taxonomy Code374U00000X

License✔ Licensed in IL · 043068868

Definition

A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.

517 E 153RD ST, Phoenix, IL 60426

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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 Annie Jackson's NPI number?

The NPI number for Annie Jackson is 1700338712. It was assigned to this individual provider in the NPPES registry on October 26, 2016.

Where is Annie Jackson located?

Annie Jackson practices at 517 E 153rd St, Phoenix, IL 60426. The listed phone number is (708) 513-2866.

What is Annie Jackson's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

When was this NPI record last updated?

The NPPES record for Annie Jackson was last updated on October 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.