Individual
JAMIE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 CHILDREN'S DRIVE, DEPARTMENT OF PSYCHOLOGY, COLUMBUS, OH 43205
(614) 722-4700
(614) 722-4718
Mailing address
PATIENT ACCOUNTS, P.O. BOX 715202, COLUMBUS, OH 43271-0001
(614) 722-2000
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
7043
OH
Other
Enumeration date
08/07/2013
Last updated
08/07/2013
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