Angelia Marie Jackson APRN, FNP-C

NPI 1437580057 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1437580057
Gender Female
Enumeration Date 12/07/2013
Last Updated 12/07/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
901 W BROADWAY
LOUISVILLE KY, 40203-2028, US
Phone (502) 584-2257
Fax
Business Location
9803 SUNWAY DR
LOUISVILLE KY, 40272-3762, US
Phone (502) 744-9113
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Kentucky
License Number 3008402
Remove 1437580057 NPI Number
 

According to our database, Mrs. Angelia Marie Jackson APRN, FNP-C NPI is 1437580057, taxonomy code is 363LF0000X and license number is 3008402, license state is located at Kentucky. Angelia Marie Jackson APRN, FNP-C physically located at 901 W Broadway, Louisville KY, 40203-2028. NPI Number Angelia Marie Jackson APRN, FNP-C has the Individual type.

Sponsored links

1437580057 NPI number is provided on an as is basis without warranty of any kind. 1437580057 is maintained by the National Plan & Provider Enumeration System. The contents of Angelia Marie Jackson APRN, FNP-C are for informational purposes only.