CYNETHIA JACKSON LPN NPI 1891405528

NPI Information

NPI: 1891405528
Provider Name: CYNETHIA JACKSON, LPN
Classification: Homemaker - 376J00000X
Entity Type: Individual
Address:
4131 BASSWOOD DR
GOSHEN, IN
ZIP 46526
Phone: (574) 320-0728
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Cynethia Jackson, LPN is a homemaker in Goshen, IN. The provider is an individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. Cynethia Jackson, LPN NPI is 1891405528. 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:

4131 BASSWOOD DR
GOSHEN, IN
ZIP 46526-154
Phone: (574) 320-0728

The enumeration date for this NPI number is 12/5/2022 and was last updated on 12/5/2022.

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	376J00000X	Homemaker				Yes

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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