Whalio Doctors

NPI 1295908051

Christy Danielle Jackson, NURSE

Practitioner Licensed Psychiatric Technician Elyria, OH

Practice location

Address
409 Courtland St, Elyria, OH 44035-3167
Phone
(440) 324-5709

Registered specialties

Licensed Psychiatric Technician Primary
Nursing Service Providers Taxonomy 167G00000X Licence PN102812 (OH)

Registry record

NPI
1295908051
Entity type
Individual
Sex (as registered)
Female
NPI issued
11 Apr 2008
Record last updated
11 Apr 2008

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.