Jacqueline F Jackson

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

License

SK455996 Issued in OH

Legal business name

JACQUELINE F JACKSON

Practice address

4207 Secor Rd Apt 242
Toledo, OH 43623-4221

Phone

(419) 270-2592

NPI assigned

Feb 7, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Jacqueline Jackson Jackson

Title

Owner

Phone

(419) 270-2592

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1669910980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4207 SECOR ROAD APT 242",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43623",
            "telephone_number": "419-270-2592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4207 SECOR RD APT 242",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234221",
            "telephone_number": "419-270-2592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE F JACKSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-07",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JACQUELINE JACKSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-270-2592",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "OH",
            "license": "SK455996",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OH",
            "license": "SK455996",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronda Jacobs
• Jacoby Jacobsen, D.O.
• Haley Jacobson
• Jordan Jacobson, LAT, ATC
• Jennifer Lee Jacoby, CRNA
• Ralf Jadoopat
• Frank E Jaeblon, DO
• Alyssa Jaeck, BCBA
• Talha Jaffar, M.D.
• Mary Jaffe, MA CCC-SLP

• Foster Care Agency in Toledo, OH
• Providers in Toledo, OH by specialty
• Foster Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.