Theresa Michelle Jackson RN

NPI 1083947592 - Registered Nurse - 163W00000X

NPI Details
NPI 1083947592
Gender Female
Enumeration Date 09/15/2009
Last Updated 09/15/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
337 E 197TH ST
EUCLID OH, 44119-1121, US
Phone (216) 738-1774
Fax
Business Location
337 E 197TH ST
EUCLID OH, 44119-1121, US
Phone (216) 738-1774
Fax
Toxanomy
Taxonomy Code 163W00000X
License State Ohio
License Number RN.310131
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According to our database, Mrs. Theresa Michelle Jackson RN NPI is 1083947592, taxonomy code is 163W00000X and license number is RN.310131, license state is located at Ohio. Theresa Michelle Jackson RN physically located at 337 E 197th St, Euclid OH, 44119-1121. NPI Number Theresa Michelle Jackson RN has the Individual type.

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1083947592 NPI number is provided on an as is basis without warranty of any kind. 1083947592 is maintained by the National Plan & Provider Enumeration System. The contents of Theresa Michelle Jackson RN are for informational purposes only.