Amber Nicole Jackson LPN

NPI 1730429226 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1730429226
Gender Female
Enumeration Date 02/21/2013
Last Updated 02/21/2013
Entity Type Individual
Active Over 4 years ago
Practice Location
5963 HIGHLAND VIEW DR
SYLVANIA OH, 43560, US
Phone (419) 205-4232
Fax (419) 754-2018
Business Location
5963 HIGHLAND VIEW DR
SYLVANIA OH, 43560-1240, US
Phone (419) 205-4232
Fax (419) 754-2018
Toxanomy
Taxonomy Code 164W00000X
License State Ohio
License Number 137820
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According to our database, Mrs. Amber Nicole Jackson LPN NPI is 1730429226, taxonomy code is 164W00000X and license number is 137820, license state is located at Ohio. Amber Nicole Jackson LPN physically located at 5963 Highland View Dr, Sylvania OH, 43560. NPI Number Amber Nicole Jackson LPN has the Individual type.

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1730429226 NPI number is provided on an as is basis without warranty of any kind. 1730429226 is maintained by the National Plan & Provider Enumeration System. The contents of Amber Nicole Jackson LPN are for informational purposes only.