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NPI Code Detail

MEDICARE: CURTIS JACKSON III

MEDICARE: CURTIS JACKSON III
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care AttendantOH

General Provider Information

NPI Number : 1407707433
Entity Type Code : Individual
Provider Name (Legal Business Name) : CURTIS JACKSON III
Provider Business Mailing Address
First Line : 3147 PARKWOOD AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43610-1616
Country : US
Telephone Number : 567-469-9516
Fax Number :
Provider Business Practice Location Address
First Line : 3147 PARKWOOD AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43610-1616
Country : US
Telephone Number : 567-469-9516
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2026
Last Update Date : 02/05/2026

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Directions to “ CURTIS JACKSON III ” Practice Location

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