Individual
MICHELLE PATRICIA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MS, APRN-BC
Contact information
Practice address
111 S GRANT AVE, COLUMBUS, OH 43215-4701
(614) 566-9000
Mailing address
340 E TOWN ST, SUITE 10-330, COLUMBUS, OH 43215-4600
(614) 566-8302
(614) 566-8009
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN-194757, NP-09434
OH
Other
Enumeration date
02/21/2008
Last updated
02/21/2008
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