NPI 1043659576

Breyon Jackson

Practitioner Nurse's Aide Youngstown, OH

Practice location

Address: 3132 Idlewood Ave, Youngstown, OH 44511-3138
Phone: (330) 423-3523

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X

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Registry record

NPI: 1043659576
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jun 2013
Record last updated: 18 Jun 2013

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.