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Antonio Jackson
NPI 1174495717 · on the registry since 2025
Practice
- Address
- 1037 Erin Dr
Kent, OH 44240 - Phone
- (330) 245-8049
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-23
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