NPI 1063117075

Gennell Jackson

Practitioner Adult Companion Cincinnati, OH

Practice location

Address: 3422 Bassett Rd APT 1, Cincinnati, OH 45205-2203
Phone: (513) 543-5117

Registered specialties

Adult Companion Primary

Nursing Service Related Providers Taxonomy 372600000X

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Registry record

NPI: 1063117075
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Mar 2023
Record last updated: 31 Mar 2023

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.