AVIS SHANTRELL JACKSON
NPI 1861030835
Home Health Aide in Miami, FL

Q: What is Avis Jackson's NPI number?

The NPI number for Avis Jackson is 1861030835. It was assigned to this individual provider in the NPPES registry on December 20, 2019.

Q: What is Avis 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 Avis Jackson was last updated on December 20, 2019. 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.

Active since December 20, 2019

1700 NW 66TH ST, MIAMI, FL 33147(786) 333-4557 Get Directions Write a Review

NPPES record last updated: December 20, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Avis Shantrell Jackson NPPES

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

AVIS SHANTRELL JACKSON (NPI 1861030835) is an individual home health aide in Miami, Florida and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1861030835

Entity TypeIndividualFemale

Primary Taxonomy374U00000X

Provider Legal NameAVIS SHANTRELL JACKSON

Location Address1700 NW 66TH STMiami, FL 33147-7444

Mailing Address1700 Nw 66th StMiami, FL 33147-7444 · (786) 333-4557

Phone(786) 333-4557

Sole ProprietorYes

Enumeration DateDecember 20, 2019

✔ NPI 1861030835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome Health AideNursing Service Related Providers

Taxonomy Code374U00000X

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.

1700 NW 66TH ST, Miami, FL 33147

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 Avis Jackson's NPI number?

The NPI number for Avis Jackson is 1861030835. It was assigned to this individual provider in the NPPES registry on December 20, 2019.

Where is Avis Jackson located?

Avis Jackson practices at 1700 NW 66th St, Miami, FL 33147. The listed phone number is (786) 333-4557.

What is Avis 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 Avis Jackson was last updated on December 20, 2019. 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.