Search › Ohio › 164W00000X
Amanda Jackson, LPN
NPI 1528309473 · on the registry since 2013 · sole proprietor
Practice
- Address
- 923 Cottage Ave
Miamisburg, OH 45342 - Phone
- (937) 716-6219
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-03-01
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