National Provider Identifier Database

CHRISTY D JACKSON, NURSE – NPI #1295908051
Licensed Psychiatric Technician

An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.


Contact Information

CHRISTY D JACKSON, NURSE
409 COURTLAND ST
ELYRIA, OH44035-3167
Phone: 440-324-5709
Fax:
Website:
Specialty Taxonomy Code
* Licensed Psychiatric Technician 167G00000X

* Indicates primary specialty

NPI Profile & details for CHRISTY D JACKSON

NPI Number 1295908051
Credentials NURSE
Entity Individual
Enumeration date 04/11/2008
Last updated 04/11/2008 - About 18 years ago
Sole proprietor1 Yes
Identifiers
  • OH License #: PN102812
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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