Individual
JASON RYAN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
34.014440
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0398624
—
OH
Enumeration date
04/23/2014
Last updated
04/14/2026
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