Emily Jackson
Individual provider Active NPI Attendant Care Provider · Locust Grove, VA
NPI 1295489276 · NPPES record last updated Feb 8, 2022
Key facts
- NPI
- 1295489276
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Attendant Care Provider 3747A0650X
- Practice address
- 1200 Lakeview Pkwy
Locust Grove, VA 22508-5232 - Phone
- (540) 220-5261
- NPI assigned
- Feb 8, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | VA | Yes |
Addresses
Primary practice location
1200 Lakeview Pkwy
Locust Grove, VA 22508-5232
Mailing address
1200 Lakeview Pkwy
Locust Grove, VA 22508-5232
Phone (540) 220-5261
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | n/a |
Other providers in Locust Grove, VA
- Anne Hruskoci
- Amy L. Hull
- Rulea Hunter
- Integrated Maintenance and Bus Services LLC ('Imbserv')
- Andrea M. Jackson
- Sandra Jean Jackson
- Adam H. Johnson
- Kenneth Scott Johnson
- Jaylah Nacole Jones
- Kara Josephs
All providers in Locust Grove, VA · Attendant Care Provider in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.