SearchOhio101YM0800X

Jackson Wilson

NPI 1790555811 · on the registry since 2024 · sole proprietor

Practice

Address
82 Kelly Marie Dr
Pataskala, OH 43062
Phone
(614) 315-9437

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Sex
Male
Record last updated
2024-01-09

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