Cortnie Jackson
Nurse's Aide in Massillon, OH. Individual provider (NPI-1).
NPI number1619706827
StatusActive
Last updated in NPPESJul 29, 2024
Details
- NPI
- 1619706827
- Entity type
- Individual (NPI-1)
- Name
- Cortnie Jackson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 29, 2024
- Certification date
- Jul 28, 2024
- Last updated
- Jul 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376K00000X | Nurse's Aide | 501027661005 | OH | Yes |
Practice location
8818 Ontario St NwMassillon, OH 44646-1656
Phone 133-020-5772
Mailing address
8818 Ontario St NwMassillon, OH 44646-1656
Phone 133-020-5772
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All 12 Nurse's Aide providers in Massillon · All 1,260 providers in Massillon
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