Individual
JANEEN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1219 WIMBELDON BLVD, COLUMBUS, OH 43228-9328
(614) 563-2912
Mailing address
1219 WIMBELDON BLVD, COLUMBUS, OH 43228-9328
(614) 563-2912
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN362709
OH
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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