MRS. Glenda L Jackson, NP

NPI #1134208119 in Rome, New York

Provider Information

NPI Number: 1134208119
Entity Type: Individual
Name: MRS. Glenda L Jackson, NP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: NP
Enumeration Date: Nov 2, 2006
Last Updated: Mar 19, 2013

Practice Location

Address: 117 W LIBERTY STREET
City: Rome
State: New York
ZIP Code: 13440
Phone: (315) 339-0401

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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