Individual
NATALIE R JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 W UNIVERSITY AVE FL 3, MUNCIE, IN 47303-3428
(765) 747-4409
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
(765) 741-0335
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2512855
OH
Other
Enumeration date
07/21/2017
Last updated
12/10/2025
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