MS. VERNEEKY CARENDA JACKSON PERSONAL CARE AIDE NPI 1720444839

NPI Information

NPI: 1720444839
Provider Name: MS. VERNEEKY CARENDA JACKSON, PERSONAL CARE AIDE
Classification: Home Health Aide - 374U00000X
Entity Type: Individual
Address:
8260 ATLEE ROAD
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER
MECHANICSVILLE, VA
ZIP 23116
Phone: (804) 764-6000
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MS. Verneeky Carenda Jackson, PERSONAL CARE AIDE is a home health aide in Mechanicsville, VA. The provider is a person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. MS. Verneeky Carenda Jackson, PERSONAL CARE AIDE NPI is 1720444839. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8260 ATLEE ROAD
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER
MECHANICSVILLE, VA
ZIP 23116-309
Phone: (804) 764-6000
Fax: (804) 764-6324

The enumeration date for this NPI number is 1/5/2016 and was last updated on 1/5/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	374U00000X	Home Health Aide			VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	G28365	MEDICARE UPIN	VIRGINIA
2	G85907	MEDICARE UPIN	VIRGINIA
3	0472640012	MEDICARE NSC	VIRGINIA
4	0962280006	MEDICARE NSC	VIRGINIA
5	G65102	MEDICARE UPIN	VIRGINIA
6	490069	MEDICARE OSCAR/CERTIFICATION	VIRGINIA
7	497026C	MEDICARE OSCAR/CERTIFICATION	VIRGINIA
8	G68868	MEDICARE UPIN	MICHIGAN
9	0472640003	MEDICARE NSC	VIRGINIA
10	390000110	MEDICARE PIN	VIRGINIA
11	AE491Z	MEDICARE PIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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