Morgan Jackson, RN, CDCA
Registered Nurse in Portsmouth, OH. Individual provider (NPI-1).
NPI number1124599014
StatusActive
Last updated in NPPESOct 9, 2019
Details
- NPI
- 1124599014
- Entity type
- Individual (NPI-1)
- Name
- Morgan Jackson
- Credential
- RN, CDCA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 17, 2018
- Last updated
- Oct 9, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | RN.456286 | OH | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | CDCA.168866 | OH |
Practice location
1616 Grant StPortsmouth, OH 45662-3663
Phone 740-529-7356 · Fax 740-529-1351
Mailing address
1616 Grant StPortsmouth, OH 45662-3663
Phone 740-529-7356 · Fax 740-529-1351
Other practice locations
605 Washington St
Portsmouth, OH 45662-3919
Portsmouth, OH 45662-3919
Phone 740-353-8863 · Fax 740-354-7854
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