Travis Carson Jackson

NPI #1336932268 in Ashtabula, Ohio

Provider Information

NPI Number: 1336932268
Entity Type: Individual
Name: Travis Carson Jackson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: May 23, 2025
Last Updated: May 28, 2025

Practice Location

Address: 2118 EAGLE DR
City: Ashtabula
State: Ohio
ZIP Code: 44004-7820
Phone: (440) 850-1356

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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