Jackson, Amanda L

Jackson, Amanda L is an individual health care provider with primary practice located at 2139 Auburn Ave , Cincinnati OH 45219-2906. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecologic Oncology. Allopathic & Osteopathic Physicians / Gynecologic Oncology is her primary health care specialty. Jackson, Amanda L can be contacted via phone (513) 585-2323.

Contact Information

Primary practice address
2139 Auburn Ave Cincinnati OH 45219-2906
Phone: (513) 585-2323
Fax: (513) 585-4893
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X LP01231 Rhode Island
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 35 123680 Ohio

Profile Details

NPI number 1245498864
LBN Legal business name Jackson, Amanda L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2008
Last updated Feb 24th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1245498864 NPPES
Kentucky Other 7100301430 MEDICAID
Kentucky Other 0103881 MEDICAID
Kentucky Other 201232150 MEDICAID

Popular Providers