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Individual

DR. FELICIA ATHENS JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D., MCJ, RN

Contact information

Practice address
4634 BELFAST DR, COLUMBUS, OH 43227-2527
(614) 861-0983
(614) 860-0487
Mailing address
4634 BELFAST DR, COLUMBUS, OH 43227-2527
(614) 861-0983
(614) 860-0487

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN269287
OH
163WC1500X
Community Health Registered Nurse
RN26987
OH
163WH0200X
Home Health Registered Nurse
RN269287
OH
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
RN269287
OH
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN269287
OH
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
RN269287
OH

Other

Enumeration date
07/04/2007
Last updated
07/01/2020
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