Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LORI JACKSON
Active Sole ProprietorHome Health Aide · MINERAL CITY, OH
Registration Details
- NPI Number
- 1477051845
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 31, 2018 (8.2508054373369 yrs)
- Last Updated
- Jan 31, 2018
- License
-
400989351009 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2800 TUSKY VALLEY RD NEMINERAL CITY, OH, 446569691Browse OH providers · Browse ZIP 44656
- Phone
- 3303242840
- Primary Specialty
-
Home Health Aide
374U00000X
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.