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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANTONIA JACKSON

Deactivated

ANTONIA JACKSON is a Family Nurse Practitioner healthcare provider located in HAMILTON, Ohio. NPI 1356763593 is deactivated in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · HAMILTON, OH

This NPI has been deactivated. The record was deactivated on October 9, 2019. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1356763593
Provider Type
Individual
Gender
Female
NPI Issued
Jan 7, 2014 (5.7534246575342 yrs)
Last Updated
Apr 29, 2025
Deactivated
Oct 9, 2019
Licenses
398426 (OH)
APRN.CNP.0030393 (OH)

Practice Information

Address
1 N BROOKWOOD AVE
HAMILTON, OH, 450131209
Browse OH providers · Browse ZIP 45013
Phone
1398142035
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in HAMILTON, OH

Name Credential NPI
MS. SHARI LYNN GABBARD CNP 1932119096
GINGER L JUSTICE FNP 1700991999
MADONNA MARIE GUGGENBILLER NP 1942395132
MRS. CAROLYN ROETERING CRNP 1265501001
GERALDINE THOMAS NP 1023136058
MR. MICHAEL DEAN JONES N.P. 1831397884
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.