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Gwendolyn Jackson, CNA
NPI 1952735391 · on the registry since 2013 · sole proprietor
Practice
- Address
- 5743 Farwell Dr.
Houston, TX 77035 - Phone
- (832) 207-5272
- Fax
- (713) 485-0804
- Organisation at this address
- J Divine, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 376K00000X
376K00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-08-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas