Individual
JAMIE SUE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NP-C
Contact information
Practice address
210 STERLING RUN BLVD, MOUNT ORAB, OH 45154-8395
(937) 444-6995
Mailing address
2620 ELM HILL PIKE, NASHVILLE, TN 37214-3108
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0030434
OH
Other
Enumeration date
02/18/2022
Last updated
06/24/2022
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