Andrea Michele Jackson
NPI #1568945947 in Starkville, Mississippi
Provider Information
- NPI Number
- 1568945947
- Entity Type
- Individual
- Name
- Andrea Michele Jackson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Sep 11, 2018
- Last Updated
- Sep 11, 2018
Practice Location
- Address
- 100 WILBURN WAY
- City
- Starkville
- State
- Mississippi
- ZIP Code
- 39759-3692
- Phone
- (662) 320-4008
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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