Individual
MRS. AMBER NICOLE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5963 HIGHLAND VIEW DR, SYLVANIA, OH 43560
(419) 205-4232
(419) 754-2018
Mailing address
5963 HIGHLAND VIEW DR, SYLVANIA, OH 43560-1240
(419) 205-4232
(419) 754-2018
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
137820
OH
Other
Enumeration date
02/21/2013
Last updated
02/21/2013
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