Catherine Alisa Jackson
Catherine Alisa Jackson is a Nurse Practitioner in Kettering, Ohio. Qualified in 2022, 4 years ago. Practices with Namchi Le MD LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Ohio.
- Years since qualifying
- 4
- Licensed in
- OH
- In the registry since
- 2023
Practice location Address checks out
3535 Southern BlvdKettering, OH 45429-1221
Phone: (937) 298-4331
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gerontology Nurse Practitioner (primary) | Taxonomy 363LG0600X · Licence APRN.CNP.0034084 (OH) |
|---|
Record details
| NPI number | 1215612031 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 19, 2023 |
| Last updated in NPPES | January 25, 2024 |
| Certification date | January 25, 2024 |
| Mailing address | 3535 Southern Blvd, Kettering, OH 45429-1221 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Namchi Le Md Llc — 4 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Kettering
-
Debra S Steel
3535 Southern Blvd, Kettering, OH 45429-1221 · (937) 762-1305
-
Mrs. Jennifer Sundstrom, CNP
3737 Southern Blvd Ste 2000, Kettering, OH 45429-1285 · (937) 228-4126
-
Katelyn Michelle Wilson, NP
3533 Southern Blvd Ste 5650, Kettering, OH 45429-1263 · (937) 294-3611