Individual
DESIREE NICOLE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
521 S 2ND ST, GREENFIELD, OH 45123-1605
(740) 895-0000
Mailing address
521 S 2ND ST, GREENFIELD, OH 45123-1605
(740) 895-0000
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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