RANDY JACKSON
NPI 1750807442
Home Health Aide in Mesa, AZ
- Individual
- Male
- Home Health Aide
About RANDY JACKSON
This page provides the complete NPI Profile along with additional information for Randy Jackson, a provider established in Mesa, Arizona with a medical specialization in Home Health Aide. The healthcare provider is registered in the NPI registry with number 1750807442 assigned on August 2017. The practitioner's primary taxonomy code is 374U00000X. The provider is registered as an individual and his NPI record was last updated 9 years ago.
- NPI
- 1750807442 Verify this NPI
- Provider Name
- RANDY JACKSON
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 9837 E NATAL AVE MESA, AZ 85209
- Location Phone
- (480) 750-7185
- Mailing Address
- PO BOX 52588 MESA, AZ 85208
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-15-2017
- Last Update Date
- 08-15-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Home Health Aide
- Taxonomy Code
- 374U00000X
- Type
- Nursing Service Related Providers
- Taxonomy Description
- A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750807442, enumerated as an "individual" on August 15, 2017.
The provider is located at 9837 E NATAL AVE MESA, AZ 85209 and the phone number is (480) 750-7185.
Home Health Aide with taxonomy code 374U00000X.
