Kayla Lynn Jackson

NPI #1134518392 in Rosewood, Ohio

Provider Information

NPI Number: 1134518392
Entity Type: Individual
Name: Kayla Lynn Jackson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Jan 12, 2015
Last Updated: Jan 12, 2015

Practice Location

Address: 10965 WEST STATE ROUTE 29
City: Rosewood
State: Ohio
ZIP Code: 43070
Phone: (937) 926-6420

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Private Vehicle	347C00000X
Homemaker	376J00000X	Primary
Nurse's Aide	376K00000X
Respite Care	385H00000X

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