Individual
BURNETTE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3200 VINE ST, CINCINNATI, OH 45220-2213
(513) 861-3100
Mailing address
810 VERMONT AVE NW, WASHINGTON, DC 20420-0001
(602) 501-6715
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-132789
AL
Other
Enumeration date
04/01/2026
Last updated
04/01/2026
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