NPI 1104553528

Eboni Denice Jackson, AMCACERTIFIEDTRICH

Practitioner Religious Nonmedical Practitioner Cincinnati, OH

Practice location

Address: 19 Triangle Park Dr # 1900, Cincinnati, OH 45246-3416
Phone: (513) 376-7514

Registered specialties

Religious Nonmedical Practitioner Primary

Nursing Service Related Providers Taxonomy 374K00000X

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Registry record

NPI: 1104553528
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Aug 2022
Record last updated: 5 Aug 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.