Individual
JADE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5126 SILVER ST, CINCINNATI, OH 45212-1504
(513) 293-6386
Mailing address
5126 SILVER ST, CINCINNATI, OH 45212-1504
(513) 293-6386
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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