JEFFREY CARL JACKSON
NPI 1356087472
Home Health Aide in Rudolph, OH
About Jeffrey Carl Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEFFREY CARL JACKSON (NPI 1356087472) is an individual home health aide in Rudolph, Ohio and active in the NPI registry since May 2022.
NPPES Registry Identity
Specialties & Licenses
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 Jeffrey Jackson's NPI number?
The NPI number for Jeffrey Jackson is 1356087472. It was assigned to this individual provider in the NPPES registry on May 11, 2022.
Where is Jeffrey Jackson located?
Jeffrey Jackson practices at 9515 Rudolph Rd, Rudolph, OH 43462. The listed phone number is (419) 889-9324.
What is Jeffrey 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 Jeffrey Jackson was last updated on May 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jeffrey Carl Jackson · NPI 1356087472
Home Health Aide provider in Rudolph, Ohio. Individual provider, active in the CMS NPPES registry since May 11, 2022.
## Identity
- **NPI:** 1356087472 (Entity type: Individual)
- **Enumerated:** May 11, 2022
- **Primary specialty:** Home Health Aide · taxonomy 374U00000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 9515 RUDOLPH RD, Rudolph, OH 43462-9704
- **Phone:** (419) 889-9324
## Record status
- **NPPES last updated:** May 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1356087472) · Data from the CMS NPPES public registry.