Macia L Jackson, RNFA, CNOR
Registered Nurse, Registered Nurse First Assistant in Kettering, OH. Individual provider (NPI-1).
NPI number1871720094
StatusActive
Last updated in NPPESJun 15, 2009
Details
- NPI
- 1871720094
- Entity type
- Individual (NPI-1)
- Name
- Macia L Jackson
- Credential
- RNFA, CNOR
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 15, 2009
- Last updated
- Jun 15, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WR0006X | Registered Nurse, Registered Nurse First Assistant | RN174620 | OH | Yes |
Practice location
3535 Southern BlvdKettering, OH 45429-1221
Phone 937-298-4331
Mailing address
3535 Southern BlvdKettering, OH 45429-1221
Phone 937-298-4331
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