Clark Jackson

NPI #1053768945 in Lincoln, Nebraska

Provider Information

NPI Number
1053768945
Entity Type
Individual
Name
Clark Jackson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
May 20, 2016
Last Updated
May 20, 2016

Practice Location

Address
2500 S 60TH ST APT 21
ZIP Code
68506-3579
Phone
(402) 613-2633

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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