Gennell Jackson
NPI #1063117075 in Cincinnati, Ohio
Provider Information
- NPI Number
- 1063117075
- Entity Type
- Individual
- Name
- Gennell Jackson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Adult Companion
- Enumeration Date
- Mar 31, 2023
- Last Updated
- Mar 31, 2023
Practice Location
- Address
- 3422 BASSETT RD APT 1
- City
- Cincinnati
- State
- Ohio
- ZIP Code
- 45205-2203
- Phone
- (513) 543-5117
Specialties & Taxonomy Codes
| Specialty |
|---|
| Adult Companion |
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