CATHERINE ALISA JACKSON

KETTERING, OH
NPI1215612031
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: OH  APRN.CNP.0034084)
Enumeration Date2023-06-19
Last Update Date2024-01-25
Business Address
CATHERINE ALISA JACKSON
3535 SOUTHERN BLVD
KETTERING, OH 45429-1221
Phone number: 937-298-4331
Mailing Address
CATHERINE ALISA JACKSON
3535 SOUTHERN BLVD
KETTERING, OH 45429-1221
Phone number: 937-298-4331
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