Evan Jackson
Home Health Aide in New Philadelphia, OH. Individual provider (NPI-1).
NPI number1275420531
StatusActive
Last updated in NPPESJun 30, 2025
Details
- NPI
- 1275420531
- Entity type
- Individual (NPI-1)
- Name
- Evan Jackson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 19, 2025
- Certification date
- Jun 30, 2025
- Last updated
- Jun 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | VK148608 | OH | Yes |
Practice location
324 1st Dr NeNew Philadelphia, OH 44663-2718
Phone 330-407-0488
Mailing address
6984 Deersville Avenue Ext SeUhrichsville, OH 44683-6342
Phone 330-407-0488
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All 10 Home Health Aide providers in New Philadelphia · All 489 providers in New Philadelphia
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