KENITA JACKSON
NPI 1831791342
Technician - Personal Care Attendant in Fargo, ND

Q: What is Kenita Jackson's NPI number?

The NPI number for Kenita Jackson is 1831791342. It was assigned to this individual provider in the NPPES registry on November 10, 2020.

Q: What is Kenita 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 Kenita Jackson was last updated on November 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 November 10, 2020

919 16TH ST N APT E, FARGO, ND 58102(701) 205-7323 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kenita Jackson NPPES

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

KENITA JACKSON (NPI 1831791342) is an individual personal care attendant in Fargo, North Dakota and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1831791342

Entity TypeIndividualFemale

Primary Taxonomy3747P1801X

Provider Legal NameKENITA JACKSON

Location Address919 16TH ST N APT EFargo, ND 58102-3917

Mailing Address919 16t St N Atp EFargo, ND 58102 · (701) 205-7323

Phone(701) 205-7323

Sole ProprietorYes

Enumeration DateNovember 10, 2020

NPPES CertifiedNovember 9, 2020

✔ NPI 1831791342 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

919 16TH ST N APT E, Fargo, ND 58102

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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 Kenita Jackson's NPI number?

The NPI number for Kenita Jackson is 1831791342. It was assigned to this individual provider in the NPPES registry on November 10, 2020.

Where is Kenita Jackson located?

Kenita Jackson practices at 919 16th St N Apt E, Fargo, ND 58102. The listed phone number is (701) 205-7323.

What is Kenita 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 Kenita Jackson was last updated on November 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.