IndividualActive
Dmeka Jackson
NPI 1063230159 · Home Health Aide · Rockford, IL
Provider details
- NPI number
- 1063230159
- Entity type
- Individual
- Primary specialty
- Home Health AideNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- No
- License
- $$$$$$$$$ (IL)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
1410 Ridge Ave
Rockford, IL 61103-6033
Phone: (779) 423-7866
Approximate (ZIP-level) locationGet directions
Mailing address
1410 Ridge Ave
Rockford, IL 61103-6033
Registry dates
- Enumerated
- 2024-09-28
- Last updated
- 2024-09-28
- Certified
- 2024-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.