Individual
ANNE KIMBALL JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
(513) 636-4200
Mailing address
3600 PAPE AVE, CINCINNATI, OH 45208-1725
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
007896
GA
208000000X
Pediatrics Physician
Primary
35.147863
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2015
Last updated
06/28/2023
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