Individual provider · Type 1 NPI

Catherine Alisa Jackson

Gerontology Nurse Practitioner · Kettering, OH

NPI number 1215612031 Active

Practice location

3535 Southern Blvd
Kettering, OH 45429-1221

Specialties and licenses

Taxonomy	Code	License
Gerontology Nurse Practitioner Primary	363LG0600X	APRN.CNP.0034084 (OH)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1215612031

Catherine Alisa Jackson's National Provider Identifier is 1215612031, issued on Jun 19, 2023. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Kettering, OH. The record was last updated on Jan 25, 2024.