Individual
DEANNA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3025 HAMPSHIRE RD, CLEVELAND HEIGHTS, OH 44118-1661
(216) 682-5431
Mailing address
3025 HAMPSHIRE RD, CLEVELAND HEIGHTS, OH 44118-1661
(216) 682-5431
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
402205
OH
Other
Enumeration date
04/21/2014
Last updated
12/11/2014
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