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Autumn Jackson — NPI 1053042887, Logan, OH | NPI Central

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Autumn Jackson

NPI 1053042887 · Peer Specialist · Logan, OH

Provider details

NPI number: 1053042887
Entity type: Individual
Primary specialty: Peer SpecialistOther Service Providers
Sex: Female
Sole proprietor: No
License: APS.003224 (OH)

Specialties & taxonomies

Peer SpecialistPrimary175T00000XLicense APS.003224 (OH)
Other Service Providers

Practice location

549 E Front St

Logan, OH 43138-1717

Phone: (740) 407-8697

Approximate (ZIP-level) locationGet directions

More OH providers

Mailing address

549 E Front St

Logan, OH 43138-1717

Registry dates

Enumerated: 2022-06-22
Last updated: 2022-06-22
Certified: 2022-06-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.