Mary K Jackson, NURSE PRACTITIONER

NPI #1245358043 in Hazelwood, Missouri

Provider Information

NPI Number
1245358043
Entity Type
Individual
Name
Mary K Jackson, NURSE PRACTITIONER
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
NURSE PRACTITIONER
Enumeration Date
Mar 27, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
7927 N LINDBERGH BLVD
ZIP Code
63042-3520
Phone
(615) 778-4066

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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