NPI 1013650589

Brenda Jackson

Practitioner Nurse's Aide Euclid, OH

Practice location

Address: 19431 Monterey Ave, Euclid, OH 44119-1504
Phone: (216) 256-8939

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X Licence 40112298710 (OH)

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Registry record

NPI: 1013650589
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Apr 2022
Record last updated: 13 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.