Luke Jackson
Luke Jackson is a Student in an Organized Health Care Education/Training Program in Fort Wayne, Indiana. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
8726 Cobblestone PlFort Wayne, IN 46804-3430
Phone: (260) 467-9333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1558108753 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 15, 2024 |
| Last updated in NPPES | July 15, 2024 |
| Certification date | July 13, 2024 |
| Mailing address | 8726 Cobblestone Pl, Fort Wayne, IN 46804-3430 |
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