IndividualActive
Christy Jackson, NURSE
NPI 1295908051 · Licensed Psychiatric Technician · Elyria, OH
Provider details
- NPI number
- 1295908051
- Entity type
- Individual
- Primary specialty
- Licensed Psychiatric TechnicianNursing Service Providers
- Credential
- NURSE
- Sex
- Female
- Sole proprietor
- Yes
- License
- PN102812 (OH)
Specialties & taxonomies
Nursing Service Providers
Practice location
409 Courtland St
Elyria, OH 44035-3167
Phone: (440) 324-5709
Approximate (ZIP-level) locationGet directions
Mailing address
409 Courtland St
Elyria, OH 44035-3167
Registry dates
- Enumerated
- 2008-04-11
- Last updated
- 2008-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.