person
Jeffrey Jackson
Student in an Organized Health Care Education/Training Program in Manteno, Illinois
NPI 1578193181

Jeffrey Jackson is a Student in an Organized Health Care Education/Training Program based in Manteno, IL. Jeffrey Jackson practices in Manteno, IL. The NPI Number for Jeffrey Jackson is 1578193181 and holds a License No. (Illinois).

The current practice location address for Jeffrey Jackson is 1055 W Longfellow Dr, Manteno, IL and can be reached out via phone at 815-549-2955.

Location: 1055 W Longfellow Dr, Manteno, IL, 60950-9472
person
Provider Profile Details
NPI Number
1578193181
Provider Name
Jeffrey Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
1055 W Longfellow Dr, Manteno, IL, 60950-9472
Phone Number
815-549-2955
Fax Number
Provider Enumeration Date
01/22/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1055 W Longfellow Dr
City
State
Zip
60950-9472
Phone Number
815-549-2955
Fax Number
person
Provider Business Mailing Address Details
Address
1055 W Longfellow Dr
City
State
Zip
60950-9472
Phone Number
815-549-2955
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
(Wisconsin)
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.
semi-verified symbol
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