Individual
BARBARA A JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
45 N CANFIELD NILES RD STE 4000, AUSTINTOWN, OH 44515-2300
(844) 544-0502
Mailing address
45 N CANFIELD NILES RD STE 4000, AUSTINTOWN, OH 44515-2300
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
178748
OH
164W00000X
Licensed Practical Nurse
Primary
LPN.178748.MEDS-IV
OH
Other
Enumeration date
04/10/2022
Last updated
05/02/2022
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