Individual
DR. AMY ELIZABETH JACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
915 OLENTANGY RIVER RD, COLUMBUS, OH 43212-3153
(614) 366-3687
(614) 293-9698
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 366-3687
(614) 293-9698
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
35144777
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0494892
—
OH
Enumeration date
05/29/2017
Last updated
07/22/2022
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