Individual
SONYA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MEDICAL ASSISTANT
Contact information
Practice address
2780 BRAMBLEBUSH CT, COLUMBUS, OH 43224-2505
(614) 368-4162
Mailing address
2780 BRAMBLEBUSH CT, COLUMBUS, OH 43224-2505
(614) 368-4162
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
11/13/2025
Last updated
11/13/2025
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