Jessica Jackson

NPI #1720638018 in Longview, Texas

Provider Information

NPI Number: 1720638018
Entity Type: Individual
Name: Jessica Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Enumeration Date: Sep 18, 2019
Last Updated: Sep 18, 2019

Practice Location

Address: 1600 PINE TREE RD APT 415
City: Longview
State: Texas
ZIP Code: 75604-3244
Phone: (903) 932-4611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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