Individual
JACKIE HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2213 CHERRY ST, TOLEDO, OH 43608-2603
(419) 251-4715
Mailing address
2213 CHERRY ST, TOLEDO, OH 43608-2603
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
313425
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
019798
OH
Other
Enumeration date
11/12/2018
Last updated
01/23/2019
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