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Individual
EMILY ANN JACKSON
Active
Individual
EMILY ANN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B-C NNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN.CNP.022457
OH
363LN0000X
Neonatal Nurse Practitioner
71012249A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.022457
OH
Other
Enumeration date
02/15/2018
Last updated
09/25/2024
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