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

EKAETE JACKSON, MD

Active

EKAETE JACKSON, MD is a Family Medicine healthcare provider located in MOGADORE, Ohio. NPI 1437382306 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · MOGADORE, OH

Registration Details

NPI Number
1437382306
Provider Type
Individual
Gender
Female
NPI Issued
Aug 26, 2009 (16.9614570436 yrs)
Last Updated
Dec 4, 2014
License
35-123871 (OH)

Practice Information

Address
754 S CLEVELAND AVE
#300
MOGADORE, OH, 442602200
Browse OH providers · Browse ZIP 44260
Phone
3306282686
Fax
3306280828
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in MOGADORE, OH

Name Credential NPI
BRENDA S BUIS D.O. 1881698413
BRIAN R CAIN M.D. 1417951039
JOSEPH P BURICK DO 1700866449
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.