Jeffrey Carl Jackson

NPI #1356087472 in Rudolph, Ohio

Provider Information

NPI Number: 1356087472
Entity Type: Individual
Name: Jeffrey Carl Jackson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Home Health Aide
Enumeration Date: May 11, 2022
Last Updated: May 11, 2022

Practice Location

Address: 9515 RUDOLPH RD
City: Rudolph
State: Ohio
ZIP Code: 43462-9704
Phone: (419) 889-9324

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health Aide	374U00000X	Primary

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