Individual provider · Type 1 NPI

Sue Ann Jacks, RN

Community Health Registered Nurse · Columbus, OH

NPI number 1780887620 Active

Practice location

1515 E Broad St
Columbus, OH 43205-1550

Mailing address

10428 Appleton Rd
Johnstown, OH 43031-9389

Specialties and licenses

TaxonomyCodeLicense
Community Health Registered Nurse Primary 163WC1500X239988 (OH)

Community Health Registered Nurse: Definition to come...

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About NPI 1780887620

Sue Ann Jacks, RN's National Provider Identifier is 1780887620, issued on Jun 7, 2007. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Columbus, OH. The record was last updated on Jul 8, 2007.