Individual
NIA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11362 LINCOLNSHIRE DR, CINCINNATI, OH 45240-2339
(513) 714-8661
Mailing address
11362 LINCOLNSHIRE DR, CINCINNATI, OH 45240-2339
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
4028764
KY
376K00000X
Nurse's Aide
Primary
601635180523
OH
Other
Enumeration date
04/05/2025
Last updated
04/05/2025
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