Stephanie Jackson
Stephanie Jackson is a Homemaker in Logan, West Virginia. Licensed in West Virginia. Registered with an NPI since 2020.
- Licensed in
- WV
- In the registry since
- 2020
Practice location Address checks out
Logan, WVNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Homemaker (primary) | Taxonomy 376J00000X (WV) |
|---|
Record details
| NPI number | 1861098261 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 10, 2020 |
| Last updated in NPPES | December 11, 2020 |
| Certification date | December 11, 2020 |
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