MARY LOUISE JACKSON
NPI 1316203854
Home Health Aide in Mansfield, OH
About Mary Louise Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY LOUISE JACKSON (NPI 1316203854) is an individual home health aide in Mansfield, Ohio and active in the NPI registry since April 2012.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mary Jackson's NPI number?
The NPI number for Mary Jackson is 1316203854. It was assigned to this individual provider in the NPPES registry on April 10, 2012.
Where is Mary Jackson located?
Mary Jackson practices at 256 Clairmont Ave, Mansfield, OH 44903. The listed phone number is (419) 543-1398.
What is Mary Jackson's specialty?
The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.
When was this NPI record last updated?
The NPPES record for Mary Jackson was last updated on April 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mary Louise Jackson · NPI 1316203854
Home Health Aide provider in Mansfield, Ohio. Individual provider, active in the CMS NPPES registry since April 10, 2012.
## Identity
- **NPI:** 1316203854 (Entity type: Individual)
- **Enumerated:** April 10, 2012
- **Primary specialty:** Home Health Aide · taxonomy 374U00000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 256 CLAIRMONT AVE, Mansfield, OH 44903-1547
- **Phone:** (419) 543-1398
## Record status
- **NPPES last updated:** April 11, 2012
- **Other identifiers:** Medicaid 3089438 (OH)
---
Source: [NPI Profile](https://npiprofile.com/npi/1316203854) · Data from the CMS NPPES public registry.