Carmella Jackson

NPI #1336782200 in Matteson, Illinois

Provider Information

NPI Number
1336782200
Entity Type
Individual
Name
Carmella Jackson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Oct 23, 2019
Last Updated
Oct 23, 2019

Practice Location

Address
916 SCHOOL AVE
ZIP Code
60443-1832
Phone
(773) 941-1587

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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