Jacqueline Jackson

NPI 1063700615 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1063700615
Gender Female
Enumeration Date 07/18/2011
Last Updated 07/18/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
601 W GEORGE ST
CARMICHAELS PA, 15320-1325, US
Phone (724) 966-5081
Fax (724) 966-2002
Business Location
1070 OLD NATIONAL PIKE
FREDERICKTOWN PA, 15333-2114, US
Phone (724) 632-6801
Fax (724) 632-6312
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
Remove 1063700615 NPI Number
 

According to our database, Mrs. Jacqueline Jackson NPI is 1063700615, taxonomy code is 171M00000X Jacqueline Jackson physically located at 601 W George St, Carmichaels PA, 15320-1325. NPI Number Jacqueline Jackson has the Individual type.

Sponsored links

1063700615 NPI number is provided on an as is basis without warranty of any kind. 1063700615 is maintained by the National Plan & Provider Enumeration System. The contents of Jacqueline Jackson are for informational purposes only.