SUE ANN JACKS RN
NPI 1780887620
Registered Nurse - Community Health in Columbus, OH
Active since June 07, 2007
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
Phone(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
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.