# EMILY ANN JACKSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1184124182
- **Gender:** F
- **Credential:** B-C NNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | APRN.CNP.022457 | OH | — |
| 363LN0000X | Neonatal Nurse Practitioner | 71012249A | IN | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | APRN.CNP.022457 | OH | Yes |

## Other

- **Enumeration date:** 02/15/2018
- **Last updated:** 09/25/2024