Jackson, Jacqueline Diane

Jackson, Jacqueline Diane is an individual health care provider with primary practice located at 417 Kenyon Ave , Elyria OH 44035-6413. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Jackson, Jacqueline Diane can be contacted via phone (440) 322-7644.

Contact Information

Primary practice address
417 Kenyon Ave Elyria OH 44035-6413
Phone: (440) 322-7644
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN084359 Ohio

Profile Details

NPI number 1811952765
LBN Legal business name Jackson, Jacqueline Diane
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Apr 9th, 2008 - about 16 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.

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