Individual provider · Type 1 NPI
Diana Lynn Jackson
Student in an Organized Health Care Education/Training Program · Trotwood, OH
NPI number
1104552884
Active
Practice location
481 Ginger Pl
Trotwood, OH 45426-3034
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1104552884
Diana Lynn Jackson's National Provider Identifier is 1104552884, issued on Jul 26, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Trotwood, OH. The record was last updated on Jul 26, 2022.