Individual
JAYLISA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1395 E DUBLIN GRANVILLE RD STE 222K, COLUMBUS, OH 43229-3338
(614) 896-6003
Mailing address
7036 SAWMILL VILLAGE DR, COLUMBUS, OH 43235-4997
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OH
Other
Enumeration date
04/21/2026
Last updated
04/21/2026
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