Individual
TONYA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6050 BOYMEL DR APT 1101, FAIRFIELD, OH 45014-6643
(513) 817-8872
Mailing address
6050 BOYMEL DR APT 1101, FAIRFIELD, OH 45014-6643
(513) 817-8872
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
402260480420
OH
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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