Search › Indiana › 222Q00000X
Waukesha Jackson
NPI 1528797172 · on the registry since 2022 · sole proprietor
Practice
- Address
- 1222 S Grant Ave
Indianapolis, IN 46203 - Phone
- (317) 746-3301
Registry record
- Primary taxonomy
- 222Q00000X
222Q00000X
- Sex
- Female
- Record last updated
- 2022-06-15
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 Indiana