Amanda Nicole Jackson, LPN

NPI #1528309473 in Miamisburg, Ohio

Provider Information

NPI Number
1528309473
Entity Type
Individual
Name
Amanda Nicole Jackson, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Mar 1, 2013
Last Updated
Mar 1, 2013

Practice Location

Address
923 COTTAGE AVE
State
Ohio
ZIP Code
45342-1805
Phone
(937) 716-6219

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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