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Individual
PAIGE ROTON JACKSON
Active
Individual
PAIGE ROTON JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9442755
FL
363LF0000X
Family Nurse Practitioner
1-049797
AL
Other
Enumeration date
05/03/2012
Last updated
03/05/2019
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