Individual
DELINDA DAWN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
27855 OH-7, MARIETTA, OH 45750
(740) 374-9100
Mailing address
27855 OH-7, MARIETTA, OH 45750
(740) 374-9100
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F02210578
WV
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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