Individual
EMILY ELLEN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.P
Contact information
Practice address
160 ROBERTS LN, HILLSBORO, OH 45133-7615
(937) 393-9955
(937) 393-9966
Mailing address
160 ROBERTS LN, HILLSBORO, OH 45133-7615
(937) 393-9955
(937) 393-9966
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
023692
OH
Other
Enumeration date
11/16/2018
Last updated
12/22/2020
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