Individual provider · Type 1 NPI

Kenyatta K. Jackson

Student in an Organized Health Care Education/Training Program · Worthington, OH

NPI number 1952132763 Active

Practice location

445 E Dublin Granville Rd
Worthington, OH 43085-3192

Call (614) 844-3800 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone 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.

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About NPI 1952132763

Kenyatta K. Jackson's National Provider Identifier is 1952132763, issued on Aug 13, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Worthington, OH. The record was last updated on Aug 16, 2024.