Individual
EVAN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
324 1ST DR NE, NEW PHILADELPHIA, OH 44663-2718
(330) 407-0488
Mailing address
6984 DEERSVILLE AVENUE EXT SE, UHRICHSVILLE, OH 44683-6342
(330) 407-0488
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
VK148608
OH
Other
Enumeration date
06/19/2025
Last updated
06/30/2025
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