Jackson, Misty A

Jackson, Misty A is an sole proprietor health care provider with primary practice located at 4301 Kitridge Rd , Huber Heights OH 45424-6022. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Jackson, Misty A can be contacted via phone (937) 867-1793.

Contact Information

Primary practice address
4301 Kitridge Rd Huber Heights OH 45424-6022
Phone: (937) 867-1793
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN-133445-IV Ohio

Profile Details

NPI number 1083843437
LBN Legal business name Jackson, Misty A
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2009
Last updated Jul 7th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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