NPI Registry.org

Kathryn M Jackson

NPI Registration Record

Provider / OrganizationNPIDate Certified
KATHRYN M JACKSON10731195252022-10-02

Kathryn M Jackson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1073119525. Registration indicates Kathryn M Jackson is a provider of services with a specialization in Nursing Service Related Providers, Home Health Aide (Home Health Aide, ) (Home Health Aide, Nursing Service Related Providers)

Entity TypeIndividual
Provider Name Kathryn M Jackson
Practice Office Address2020 BROWNLEE AVE
YOUNGSTOWN, OH US
Practice Office Telephone3040296413
Mailing Address2020 BROWNLEE AVE
YOUNGSTOWN, OH 445141016 US
Business Telephone3302078602
Contact Endpoints
me []meDirect
HPT Codes
CodePractice
License No
State
374U00000X PRIMARY
Nursing Service Related Providers
Home Health Aide
Home Health Aide

Home Health Aide
Nursing Service Related Providers
OPI Codes
1235809237 MEDICAID OH
1073119525 OTHER OH NPI
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