Search › Ohio › 253Z00000X
Amy Jackson
NPI 1063027134 · on the registry since 2020 · sole proprietor
Practice
- Address
- 812 County Road 24 N
De Graff, OH 43318 - Phone
- (937) 539-2568
Registry record
- Primary taxonomy
- 253Z00000X
253Z00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-09-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio