Jackson, Macia L

Jackson, Macia L is an sole proprietor health care provider with primary practice located at 3535 Southern Blvd , Kettering OH 45429-1221. She recently has only one registered license in Nursing Service Providers / Registered Nurse First Assistant, which is considered as her primary health care specialty. Jackson, Macia L 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:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse First Assistant 163WR0006X RN174620 Ohio

Profile Details

NPI number 1871720094
LBN Legal business name Jackson, Macia L
Credentials RNFA, CNOR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2009
Last updated Jun 15th, 2009 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871720094 NPPES
Ohio Other RN174620 RN MEDICAL LICENSE

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