Kim Jackson

NPI 1033143581 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1033143581
Gender Female
Enumeration Date 07/10/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1000 LOCUST ST
RENO NV, 89502-2597, US
Phone (775) 786-7200
Fax
Business Location
172 COUNTRY RANCH RD
FERNLEY NV, 89408-8665, US
Phone
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Nevada
License Number APN000599
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According to our database, Kim Jackson NPI is 1033143581, taxonomy code is 363LF0000X and license number is APN000599, license state is located at Nevada. Kim Jackson physically located at 1000 Locust St, Reno NV, 89502-2597. NPI Number Kim Jackson has the Individual type.

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1033143581 NPI number is provided on an as is basis without warranty of any kind. 1033143581 is maintained by the National Plan & Provider Enumeration System. The contents of Kim Jackson are for informational purposes only.