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MS. IKISHIA N JACKSON R.N
NPI 1912357682
Home Health in Philadelphia, PA

Active since June 14, 2016
625 E GIRARD AVE APT 1, PHILADELPHIA, PA 19125(267) 439-0966(215) 425-4414 Get Directions Write a Review

NPPES record last updated: July 27, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 27, 2021, Sep 14, 2018, Nov 15, 2017 and 2 more (5 updates tracked since 2016).

About Ms. Ikishia N Jackson R.n NPPES

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

MS. IKISHIA N JACKSON R.N (NPI 1912357682) is an individual home health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (652238) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1912357682
Entity TypeIndividualFemale
Primary Taxonomy251E00000X
Provider Legal NameMS. IKISHIA N JACKSONCredential: R.N
Location Address625 E GIRARD AVE APT 1Philadelphia, PA 19125-3400
Mailing Address625 E Girard Ave Apt 1Philadelphia, PA 19125-3400 · (267) 439-0966 · Fax (215) 425-4414
Phone(267) 439-0966
Fax(215) 425-4414
Sole ProprietorYes
Enumeration DateJune 14, 2016
Last NPPES UpdateJuly 27, 20215 updates tracked since enumeration
NPPES CertifiedJuly 26, 2021
✔ NPI 1912357682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Licenses✔ Licensed in PA · 652238✔ Licensed in PA · 06650501
Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Also ListedRegistered NurseTaxonomy 163W00000X · License 06650501 (PA)
Also ListedRegistered Nurse · Home HealthTaxonomy 163WH0200X · License 06650501 (PA)
Also ListedCase ManagementTaxonomy 251B00000X · License 06650501 (PA)
Also ListedReligious Nonmedical Health Care InstitutionTaxonomy 282J00000X · License 06650501 (PA)
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X · License 06650501 (PA)
Also ListedHome Health AideTaxonomy 374U00000X · License 06650501 (PA)
Also ListedHomemakerTaxonomy 376J00000X · License 06650501 (PA)
Also ListedRespite CareTaxonomy 385H00000X · License 06650501 (PA)
625 E GIRARD AVE APT 1, Philadelphia, PA 19125
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Other Identifiers 1

Medicaid103310350-001PA

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.

CARING HANDS PERSONAL HOMES AGENCY INC
Home Health
625 E GIRARD AVE APT 1
PHILADELPHIA, PA 19125
Philadelphia County (267) 439-0966
CHPH TRANSPORTATION
Non-emergency Medical Transport (VAN)
625 E GIRARD AVE APT 1
PHILADELPHIA, PA 19125
Philadelphia County (267) 439-0966

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 Ikishia Jackson's NPI number?

The NPI number for Ikishia Jackson is 1912357682. It was assigned to this individual provider in the NPPES registry on June 14, 2016.

Where is Ikishia Jackson located?

Ikishia Jackson practices at 625 E Girard Ave Apt 1, Philadelphia, PA 19125. The listed phone number is (267) 439-0966.

What is Ikishia Jackson's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Ikishia Jackson was last updated on July 27, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.