SUE ANN JACKS RN
NPI 1780887620
Registered Nurse - Community Health in Columbus, OH

Active since June 07, 2007
1515 E BROAD ST, COLUMBUS, OH 43205(614) 252-0711 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sue Ann Jacks Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUE ANN JACKS RN (NPI 1780887620) is an individual community health provider in Columbus, Ohio, licensed in Ohio (239988) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1780887620
Entity TypeIndividualFemale
Primary Taxonomy163WC1500X
Provider Legal NameSUE ANN JACKSCredential: RN
Location Address1515 E BROAD STColumbus, OH 43205-1550
Mailing Address10428 Appleton RdJohnstown, OH 43031-9389 · (614) 252-0711
Sole ProprietorNo
Enumeration DateJune 7, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1780887620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Community HealthNursing Service Providers
Taxonomy Code163WC1500X
License Licensed in OH · 239988
1515 E BROAD ST, Columbus, OH 43205

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
1515 E BROAD ST
COLUMBUS, OH 43205
Licensed Practical Nurse
1515 E BROAD ST
COLUMBUS, OH 43205
Psychiatry & Neurology (Psychiatry)
1515 E BROAD ST
COLUMBUS, OH 43205
Registered Nurse
1515 E BROAD ST
COLUMBUS, OH 43205
Registered Nurse
1515 E BROAD ST
COLUMBUS, OH 43205
Registered Nurse
1515 E BROAD ST
COLUMBUS, OH 43205
Registered Nurse
1515 E BROAD ST
COLUMBUS, OH 43205
Pharmacist (Psychiatric)
1515 E BROAD ST
COLUMBUS, OH 43205

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780887620, enumerated as an "individual" on June 07, 2007.

The provider is located at 1515 E BROAD ST COLUMBUS, OH 43205 and the phone number is (614) 252-0711.

Registered Nurse with taxonomy code 163WC1500X and a focus in Community Health.