Renee Jackson
NPI #1376963280 in Lacey, Washington
Provider Information
- NPI Number
- 1376963280
- Entity Type
- Individual
- Name
- Renee Jackson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse
- Enumeration Date
- Apr 17, 2014
- Last Updated
- Apr 17, 2014
Practice Location
- Address
- 305 COLLEGE ST NE
- City
- Lacey
- State
- Washington
- ZIP Code
- 98516-5390
- Phone
- (360) 412-4466
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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