Search › Ohio › 374U00000X
Chanel Jackson, STNA
NPI 1659815637 · on the registry since 2016 · sole proprietor
Practice
- Address
- 93 W Glendale St
Bedford, OH 44146 - Phone
- (216) 855-2969
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Also registered as
- 376K00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-12-11
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