Jeffrey Jackson is a student in an organized health care education training program in Manteno, IL. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jeffrey Jackson NPI is 1578193181. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1055 W LONGFELLOW DR
MANTENO, IL
ZIP 60950-472
Phone: (815) 549-2955
The enumeration date for this NPI number is 1/22/2020 and was last updated on 1/22/2020.