Jackson, Catherine Alisa
Jackson, Catherine Alisa is an individual health care provider with primary practice located at 3535 Southern Blvd , Kettering OH 45429-1221. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Jackson, Catherine Alisa can be contacted via phone (937) 298-4331.Contact Information
Primary practice address
3535 Southern Blvd
Kettering OH 45429-1221
Phone: (937) 298-4331
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | APRN.CNP.0034084 | Ohio |
Profile Details
| NPI number | 1215612031 |
|---|---|
| LBN Legal business name | Jackson, Catherine Alisa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2023 |
| Last updated | Jan 25th, 2024 - about last year |
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.
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