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Contact Information

MACIA L JACKSON, RNFA, CNOR
3535 SOUTHERN BLVD
KETTERING, OH45429-1221
 Phone: 937-298-4331
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse First Assistant

163WR0006X
Indicates primary specialty

NPI Profile & details for MACIA L JACKSON · (Female)

NPI # 1871720094
Status Active
Credentials RNFA, CNOR
Entity Individual
Enumeration date 06/15/2009
Last updated 06/15/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # RN174620
  • OH Other RN174620 RN MEDICAL LICENSE
Hospital affiliation(s) Not Available
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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