Dorothy Jackson

NPI #1780094664 in Etna, Ohio

Provider Information

NPI Number: 1780094664
Entity Type: Individual
Name: Dorothy Jackson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Registered Nurse
Enumeration Date: May 1, 2014
Last Updated: May 1, 2014

Practice Location

Address: 9689 LYNNS RD
City: Etna
State: Ohio
ZIP Code: 43062-8493
Phone: (614) 989-5996

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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