Fredericka Jackson

NPI #1457993750 in La Vista, Nebraska

Provider Information

NPI Number
1457993750
Entity Type
Individual
Name
Fredericka Jackson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Oct 8, 2019
Last Updated
Jul 2, 2020

Practice Location

Address
6901 S 84TH ST
ZIP Code
68128-2127
Phone
(402) 339-1090

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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