SearchOhio164W00000X

David Jackson, LPN

NPI 1619283470 · on the registry since 2010 · sole proprietor

Practice

Address
4301 Kitridge Rd
Huber Heights, OH 45424
Phone
(937) 681-6484
Clinicians at this address
2

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-08-31

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