MRS. Misty A Jackson, LPN
NPI #1083843437 in Huber Heights, Ohio
Provider Information
- NPI Number
- 1083843437
- Entity Type
- Individual
- Name
- MRS. Misty A Jackson, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Jul 7, 2009
- Last Updated
- Jul 7, 2009
Practice Location
- Address
- 4301 KITRIDGE RD
- City
- Huber Heights
- State
- Ohio
- ZIP Code
- 45424-6022
- Phone
- (937) 867-1793
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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