Jackson, Ketura L
Jackson, Ketura L is an sole proprietor health care provider with primary practice located at 13512 Thornhurst Ave , Garfield Hts OH 44105-6851. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jackson, Ketura L can be contacted via phone (216) 402-9617.Contact Information
Primary practice address
13512 Thornhurst Ave
Garfield Hts OH 44105-6851
Phone: (216) 402-9617
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 2016003408 | Ohio |
Profile Details
| NPI number | 1821229378 |
|---|---|
| LBN Legal business name | Jackson, Ketura L |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 31st, 2009 |
| Last updated | Feb 8th, 2017 - about 7 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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