Individual
MS. JENNIFER M JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.A.
Contact information
Practice address
3000 ARLINGTON AVE, ANESTHESIA, TOLEDO, OH 43614-2595
(419) 383-3556
(419) 383-3550
Mailing address
3355 GLENDALE AVE, THIRD FLOOR, TOLEDO, OH 43614-2426
(419) 383-7100
(419) 383-2000
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
67000101
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2405050
—
OH
Enumeration date
09/07/2005
Last updated
07/08/2007
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