MRS. Marian Louise Jackson
NPI #1649072679 in Russell Springs, Kentucky
Provider Information
- NPI Number
- 1649072679
- Entity Type
- Individual
- Name
- MRS. Marian Louise Jackson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician - Attendant Care Provider
- Enumeration Date
- Mar 27, 2025
- Last Updated
- Mar 27, 2025
Practice Location
- Address
- 750 MAYNARD LN
- City
- Russell Springs
- State
- Kentucky
- ZIP Code
- 42642
- Phone
- (270) 566-5022
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Attendant Care Provider — Attendant Care Provider |
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