MISS TISHA JANEE' JACKSON
NPI 1710519293
Technician - Personal Care Attendant in Washington, DC

Active since February 12, 2020
3720 S ST NW, WASHINGTON, DC 20007(202) 749-5053 Get Directions Write a Review

NPPES record last updated: February 12, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Tisha Janee' Jackson NPPES

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

MISS TISHA JANEE' JACKSON (NPI 1710519293) is an individual personal care attendant in Washington, District Of Columbia, licensed in District Of Columbia (IIII) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1710519293
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameMISS TISHA JANEE' JACKSON
Location Address3720 S ST NWWashington, DC 20007-2115
Mailing Address3720 S St NwWashington, DC 20007-2115 · (202) 749-5053
Sole ProprietorNo
Enumeration DateFebruary 12, 2020
NPI 1710519293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
License Licensed in DC · IIII
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
3720 S ST NW, Washington, DC 20007

Other Names 1

Professional Name (2)Miss Lestine Virginia Jackson

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 Tisha Jackson's NPI number?

The NPI number for Tisha Jackson is 1710519293. It was assigned to this individual provider in the NPPES registry on February 12, 2020. The provider is also known as Miss Lestine Virginia Jackson.

Where is Tisha Jackson located?

Tisha Jackson practices at 3720 S St NW, Washington, DC 20007. The listed phone number is (202) 749-5053.

What is Tisha 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 Tisha Jackson was last updated on February 12, 2020. 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.