Individual
MS. AISHIA M JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9904 NEWTON AVE, CLEVELAND, OH 44106-1629
(216) 526-3304
Mailing address
9904 NEWTON AVE, CLEVELAND, OH 44106-1629
(216) 526-3304
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.186390
OH
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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