MR. William Materson Jackson, CRNFA
NPI #1083904502 in Blacksburg, Virginia
Provider Information
- NPI Number
- 1083904502
- Entity Type
- Individual
- Name
- MR. William Materson Jackson, CRNFA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse - Registered Nurse First Assistant
- Credential
- CRNFA
- Enumeration Date
- Apr 18, 2011
- Last Updated
- Apr 18, 2011
Practice Location
- Address
- 1730 BRUNSWICK DR
- City
- Blacksburg
- State
- Virginia
- ZIP Code
- 24060-1988
- Phone
- (540) 953-1970
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Registered Nurse First Assistant — Registered Nurse First Assistant |
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