Timothy James Jackson, NP

NPI #1144217969 in Lafayette, Louisiana

Provider Information

NPI Number
1144217969
Entity Type
Individual
Name
Timothy James Jackson, NP
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Nurse Practitioner
Credential
NP
Enumeration Date
Oct 6, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
155 HOSPITAL DR
ZIP Code
70503-2852
Phone
(337) 269-9777

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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