MRS. Kristie Lynn Jackson, NP
NPI #1053407817 in Blacksburg, Virginia
Provider Information
- NPI Number
- 1053407817
- Entity Type
- Individual
- Name
- MRS. Kristie Lynn Jackson, NP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NP
- Enumeration Date
- Oct 5, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 3700 SOUTH MAIN STREET
- City
- Blacksburg
- State
- Virginia
- ZIP Code
- 24060
- Phone
- (540) 953-5385
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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