Judy L Jackson
Judy L Jackson is a Driver in Shade, Ohio. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 3
Practice location Address checks out
40326 State Route 681Shade, OH 45776-9518
Phone: (740) 992-1797
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Personal Care Attendant (primary) | Taxonomy 3747P1801X |
|---|---|
| Driver | Taxonomy 172A00000X |
| Homemaker | Taxonomy 376J00000X |
Record details
| NPI number | 1396334660 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 12, 2021 |
| Last updated in NPPES | January 12, 2021 |
| Certification date | January 12, 2021 |