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Ms. Diana Lynn Jackson
Student in an Organized Health Care Education/Training Program in Trotwood, Ohio
NPI 1104552884

Diana Lynn Jackson is a Student in an Organized Health Care Education/Training Program based in Trotwood, OH. Diana Lynn Jackson practices in Trotwood, OH. The NPI Number for Diana Lynn Jackson is 1104552884 and holds a License No. (Ohio).

The current practice location address for Diana Lynn Jackson is 481 Ginger Pl, Trotwood, OH and can be reached out via phone at 937-304-0942.

Location: 481 Ginger Pl, Trotwood, OH, 45426-3034
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104552884
Provider Name
Diana Lynn Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
481 Ginger Pl, Trotwood, OH, 45426-3034
Phone Number
937-304-0942
Fax Number
Provider Enumeration Date
07/26/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
481 Ginger Pl
City
Trotwood
State
Ohio
Zip
45426-3034
Phone Number
937-304-0942
Fax Number
person
Provider Business Mailing Address Details
Address
481 Ginger Pl
City
Trotwood
State
Ohio
Zip
45426-3034
Phone Number
937-304-0942
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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