Diane Kay Jackman, LPN
NPI #1619100203 in Upper Sandusky, Ohio
Provider Information
- NPI Number
- 1619100203
- Entity Type
- Individual
- Name
- Diane Kay Jackman, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Aug 28, 2009
- Last Updated
- Aug 28, 2009
Practice Location
- Address
- 9336 TOWNSHIP HIGHWAY 121
- City
- Upper Sandusky
- State
- Ohio
- ZIP Code
- 43351-9797
- Phone
- (740) 360-0954
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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