Individual provider · NPI-1

Jacqueline Carson

Nurse's Aide · Cleveland, OH

NPI number1952708448
StatusActive
Last updated in NPPESNov 26, 2014

Details

NPI
1952708448
Entity type
Individual (NPI-1)
Name
Jacqueline Carson
Sex
Female
Sole proprietor
No
Enumeration date
Nov 26, 2014
Last updated
Nov 26, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376K00000X Nurse's Aide401053050310OHYes
247200000X Technician, Other401053050310OH

Practice location

3471 E 78th St
Cleveland, OH 44127-2018

Phone 216-570-7869

Mailing address

3471 East 78th Street
Cleveland, OH 44127

Phone 216-570-7869

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