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Catherine Alisa Jackson
Gerontology Nurse Practitioner in Kettering, Ohio
NPI 1215612031

Catherine Alisa Jackson is a Gerontology Nurse Practitioner based in Kettering, OH and is specialized in Gerontology. Catherine Alisa Jackson practices in Kettering, OH. The NPI Number for Catherine Alisa Jackson is 1215612031 and holds a License No. APRN.CNP.0034084 (Ohio).

The current practice location address for Catherine Alisa Jackson is 3535 Southern Blvd, Kettering, OH and can be reached out via phone at 937-298-4331.

Location: 3535 Southern Blvd, Kettering, OH, 45429-1221
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215612031
Provider Name
Catherine Alisa Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
3535 Southern Blvd, Kettering, OH, 45429-1221
Phone Number
937-298-4331
Fax Number
Provider Enumeration Date
06/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3535 Southern Blvd
City
Kettering
State
Ohio
Zip
45429-1221
Phone Number
937-298-4331
Fax Number
person
Provider Business Mailing Address Details
Address
3535 Southern Blvd
City
Kettering
State
Ohio
Zip
45429-1221
Phone Number
937-298-4331
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
APRN.CNP.0034084 (Ohio)
Definition
Definition to come...
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