IndividualActive
Catherine Jackson
NPI 1215612031 · Gerontology Nurse Practitioner · Kettering, OH
Provider details
- NPI number
- 1215612031
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- APRN.CNP.0034084 (OH)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3535 Southern Blvd
Kettering, OH 45429-1221
Phone: (937) 298-4331
Approximate (ZIP-level) locationGet directions
Mailing address
3535 Southern Blvd
Kettering, OH 45429-1221
Registry dates
- Enumerated
- 2023-06-19
- Last updated
- 2024-01-25
- Certified
- 2024-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.