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Gwenette Jackson
NPI 1881001220 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1340 Weathervane Ln Apt 2b
Akron, OH 44313 - Phone
- (330) 689-6971
Registry record
- Primary taxonomy
- 251B00000X
251B00000X
- Also registered as
- 347C00000X
3747P1801X
376J00000X - Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-06-12
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