Amanda L Jackson
Obstetrician & Gynecologist Gynecologic Oncologist
2139 Auburn Ave
Cincinnati
, Ohio 45219-2906
Amanda L Jackson
Obstetrician & Gynecologist Gynecologic Oncologist
2139 Auburn Ave
Cincinnati
, Ohio 45219-2906
(513) 585-4893
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About
Features
Specialties
- Obstetrician & Gynecologist
- Gynecologic Oncologist
Languages spoken
- English
Location
First Address
- Amanda L Jackson
- 237 William Howard Taft, Phys Div 2nd Fl, Cbo2-3. Attn: Credentialing
- Cincinnati, OH
- Zip : 45219-2906
- Fax : (513) 585-4893
- Phone : (513) 585-2323
Second Address
- Amanda L Jackson
- 2139 Auburn Ave
- Cincinnati, OH
- Zip : 45219-2906
- Fax : (513) 585-4893
- Phone : (513) 585-2323
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207V00000X | Obstetrician & Gynecologist | LP01231 | RI |
| Y | 207VX0201X | Gynecologic Oncologist | 35 123680 | OH |
National Provider Identifier
| NPI | 1245498864 |
|---|---|
| Provider Name | Amanda L Jackson |
| First Address | Cincinnati, OH 45219-2906 |
| Second Address | Cincinnati, OH 45219-2906 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/05/2008 |
| Last Update Date | 24/02/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0103881 | MEDICAID (01) | OH |
| 201232150 | MEDICAID (01) | IN |
| 7100301430 | MEDICAID (01) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.