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DEMETRIUS WILLIAM JACKSON
NPI 1780341172
Technician - Personal Care Attendant in Washington, DC

Active since November 21, 2021
3921 S ST SE, WASHINGTON, DC 20020(202) 468-5522 Get Directions Write a Review

NPPES record last updated: November 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Demetrius William Jackson NPPES

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

DEMETRIUS WILLIAM JACKSON (NPI 1780341172) is an individual personal care attendant in Washington, District Of Columbia and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1780341172
Entity TypeIndividualMale
Primary Taxonomy3747P1801X
Provider Legal NameDEMETRIUS WILLIAM JACKSON
Location Address3921 S ST SEWashington, DC 20020-1062
Mailing Address2320 24th St SeWashington, DC 20020-3402 · (202) 491-4420
Phone(202) 468-5522
Sole ProprietorNo
Enumeration DateNovember 21, 2021
NPPES CertifiedNovember 21, 2021
✔ NPI 1780341172 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
3921 S ST SE, Washington, DC 20020
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Other Providers at the Same Location NPPES 2

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

TERRYAUNNA FORD
Technician (Personal Care Attendant)
3921 S ST SE
WASHINGTON, DC 20020
District of Columbia (240) 860-5471
TEAUNTAY FORD
Technician (Personal Care Attendant)
3921 S ST SE
WASHINGTON, DC 20020
District of Columbia (202) 450-0454

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 Demetrius Jackson's NPI number?

The NPI number for Demetrius Jackson is 1780341172. It was assigned to this individual provider in the NPPES registry on November 21, 2021.

Where is Demetrius Jackson located?

Demetrius Jackson practices at 3921 S St SE, Washington, DC 20020. The listed phone number is (202) 468-5522.

What is Demetrius 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 Demetrius Jackson was last updated on November 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.