MS. Denita Lynn Jackson, LPN

NPI #1417269226 in Fairfield, Ohio

Provider Information

NPI Number
1417269226
Entity Type
Individual
Name
MS. Denita Lynn Jackson, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Jul 8, 2010
Last Updated
Dec 6, 2013

Practice Location

Address
30 HEFFRON DR
Address 2
APT G
State
Ohio
ZIP Code
45014-7165
Phone
(513) 846-8355

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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