Glenna S Jackson M.D.

NPI 1003887779 - Family Medicine - 207Q00000X

NPI Details
NPI 1003887779
Gender Female
Enumeration Date 01/30/2006
Last Updated 08/15/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
3780 MEDINA RD
STE. 310
MEDINA OH, 44256-9311, US
Phone (330) 725-8441
Fax (330) 725-8442
Business Location
3780 MEDINA RD
STE. 310
MEDINA OH, 44256-9311, US
Phone (330) 725-8441
Fax (330) 725-8442
Toxanomy
Taxonomy Code 207Q00000X
License State Ohio
License Number 35060413
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According to our database, Dr. Glenna S Jackson M.D. NPI is 1003887779, taxonomy code is 207Q00000X and license number is 35060413, license state is located at Ohio. Glenna S Jackson M.D. physically located at 3780 Medina Rd, Medina OH, 44256-9311. NPI Number Glenna S Jackson M.D. has the Individual type.

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1003887779 NPI number is provided on an as is basis without warranty of any kind. 1003887779 is maintained by the National Plan & Provider Enumeration System. The contents of Glenna S Jackson M.D. are for informational purposes only.