Elizabeth Conner Jackson
Pediatric Nephrologist
740 S Limestone
Lexington
, Kentucky 40536-0001
Elizabeth Conner Jackson
Pediatric Nephrologist
740 S Limestone
Lexington
, Kentucky 40536-0001
(513) 636-1431
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About
Features
Specialties
- Pediatric Nephrologist
Languages spoken
- English
Location
First Address
- Elizabeth Conner Jackson
- 3333 Burnet Ave Urology, Cchmc
- Cincinnati, OH
- Zip : 45229-3026
- Fax : (513) 636-1431
- Phone : (513) 636-4975
Second Address
- Elizabeth Conner Jackson
- 740 S Limestone
- Lexington, KY
- Zip : 40536-0001
- Phone : (859) 323-5481
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2080P0210X | Pediatric Nephrologist | 23556 | KY |
| Y | 2080P0210X | Pediatric Nephrologist | 35. 082704 | OH |
National Provider Identifier
| NPI | 1790705135 |
|---|---|
| Provider Name | Elizabeth Conner Jackson |
| First Address | Cincinnati, OH 45229-3026 |
| Second Address | Lexington, KY 40536-0001 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/07/2006 |
| Last Update Date | 31/10/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 64235567 | (05) | KY |
| C65972 | (02) |
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.