OIG exclusion detail
CLISSIE JACKSON
This page shows an imported LEIE row. Verify details against the official OIG source before acting.
Imported OIG rowOfficial OIG source
- NPI
- 1467721829
- Name
- CLISSIE TERESE JACKSON
- Address
- 440 MCKENZIE STREET, NEW ENGLAND, ND, 58647
- Specialty
- HOME HEALTH AGENCY
- Exclusion type
- 1128a1
- Exclusion date
- 20250619
- Reinstatement date
- 00000000
- Waiver
- 00000000
Source snapshot
Imported: May 05, 2026
Rows: 83,001
Checksum: 3a10b8ee0e4691855f74ce65a5e733672474291f79ed1f7cef163328d945e9a7
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