Individual
FAITH ANTOINETTE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7350 MONTGOMERY RD UNIT 36049, CINCINNATI, OH 45236-7502
(513) 507-5900
Mailing address
7350 MONTGOMERY RD UNIT 36049, CINCINNATI, OH 45236-7502
(513) 507-5900
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
03/08/2024
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