OIG exclusion detail
JACKIE WOODBURN
This page shows an imported LEIE row. Verify details against the official OIG source before acting.
Imported OIG rowOfficial OIG source
- NPI
- 1306009196
- Name
- JACKIE DOUGLAS WOODBURN
- Address
- P O BOX 10, #56626-039, LISBON, OH, 44432
- Specialty
- COUNSELOR
- Exclusion type
- 1128b4
- Exclusion date
- 20220720
- Reinstatement date
- 00000000
- Waiver
- 00000000
Source snapshot
Imported: May 05, 2026
Rows: 83,001
Checksum: 3a10b8ee0e4691855f74ce65a5e733672474291f79ed1f7cef163328d945e9a7
Open matching NPI page