Female

Trinette Jackson

In Home Supportive Care Agency in Memphis, TN(View on Map)

Full Name

Trinette Jackson

NPI Number

1922606706

NPI Type

Individual Provider

Gender

Female

Enumeration Date

10/13/2020

Specialties

(Taxonomies)

Code

253Z00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

905 WOODLAWN ST
905 WOODLAWN ST

City

Memphis
Memphis

State

TN
TN

Postal Code

38107-2531
38107-2531

Country

US
US

Telephone Number

(901) 674-8960
(901) 674-8960

Health Information Exchange

Endpoint Type

CONNECT

Endpoint

laptop

Endpoint Description

Unknown

Use

Unknown

Content Type

Unknown

Affiliation

N

Endpoint Location

905 Woodlawn StMemphis, TN381072531US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/03/2024

Provider Address

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