Amanda Jackson, CPNP

NPI #1205460045 in Nixa, Missouri

Provider Information

NPI Number
1205460045
Entity Type
Individual
Name
Amanda Jackson, CPNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Pediatrics
Credential
CPNP
Enumeration Date
Mar 2, 2020
Last Updated
Mar 11, 2020

Practice Location

Address
940 W MOUNT VERNON ST STE 220
City
Nixa
ZIP Code
65714-9613
Phone
(417) 724-5437

Specialties & Taxonomy Codes

Specialty
Registered Nurse
Nurse Practitioner - PediatricsPediatrics

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