Individual provider · Type 1 NPI

Raven Neal-Jackson

Psychiatric/Mental Health Nurse Practitioner · Maumee, OH

NPI number 1487357729 Active

Practice location

1655 Holland Rd
Maumee, OH 43537-1656

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600

Other practice locations

  • 2141 Overlook Rd, Cleveland Heights, OH 44106-5995 · (888) 364-5977

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN.492340 (OH)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAPRN.CNP.0035788 (OH)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1487357729

Raven Neal-Jackson's National Provider Identifier is 1487357729, issued on Mar 24, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Maumee, OH. The record was last updated on Jun 18, 2025.