Chanel Jackson, STNA

NPI #1659815637 in Bedford, Ohio

Provider Information

NPI Number: 1659815637
Entity Type: Individual
Name: Chanel Jackson, STNA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Home Health Aide
Credential: STNA
Enumeration Date: Dec 11, 2016
Last Updated: Dec 11, 2016

Practice Location

Address: 93 W GLENDALE ST
City: Bedford
State: Ohio
ZIP Code: 44146-3273
Phone: (216) 855-2969

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health Aide	374U00000X	Primary
Nurse's Aide	376K00000X

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