Catherine Alisa Jackson

Gerontology Nurse Practitioner · Kettering, OH

Individual Active NPI

NPI number 1215612031

Practice location

3535 Southern Blvd
Kettering, OH 45429-1221
Phone
(937) 298-4331

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NPI record

NPI
1215612031
Entity type
Individual (Type 1)
Enumeration date
June 19, 2023
Last updated
January 25, 2024
Certified
January 25, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Gerontology Nurse Practitioner Primary 363LG0600X APRN.CNP.0034084 OH

About Catherine Jackson

Catherine Alisa Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Gerontology Nurse Practitioner (code 363LG0600X). The practice location is 3535 Southern Blvd, Kettering, OH 45429-1221. The NPI number 1215612031 was assigned on June 19, 2023 and the record was last updated on January 25, 2024.

Catherine Jackson lists a license in the registry: #APRN.CNP.0034084 (OH) for Gerontology Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Catherine Alisa Jackson?

The NPI number is 1215612031.

What is the phone number of Catherine Jackson?

The phone number listed for the practice location is (937) 298-4331.

Where is Catherine Jackson located?

3535 Southern Blvd, Kettering, OH 45429-1221.

What is the taxonomy code for Catherine Jackson?

The primary taxonomy code is 363LG0600X – Gerontology Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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