MRS. Alisha Jackson, FNP

NPI #1487197745 in Peru, Illinois

Provider Information

NPI Number
1487197745
Entity Type
Individual
Name
MRS. Alisha Jackson, FNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
FNP
Enumeration Date
Nov 18, 2016
Last Updated
Nov 18, 2016

Practice Location

Address
1650 MIDTOWN RD
City
Peru
ZIP Code
61354-1200
Phone
(815) 220-2645

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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