Individual
ANNA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
630 HALLIE AVE, AKRON, OH 44305-2606
(614) 603-6440
Mailing address
630 HALLIE AVE, AKRON, OH 44305-2606
(614) 603-6440
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
141013
OH
Other
Enumeration date
02/16/2016
Last updated
07/14/2020
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