Holly Jackson

NPI #1427597301 in Kennett, Missouri

Provider Information

NPI Number
1427597301
Entity Type
Individual
Name
Holly Jackson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Registered Nurse - General Practice
Enumeration Date
Feb 13, 2017
Last Updated
Feb 13, 2017

Practice Location

Address
1109 JONES ST
ZIP Code
63857-3824
Phone
(573) 359-2600

Specialties & Taxonomy Codes

Specialty
Registered Nurse - General PracticeGeneral Practice

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