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Individual
ANNE MARTHA JACKSON
Active
Individual
ANNE MARTHA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MN, CNS
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
00110808
WA
163W00000X
Registered Nurse
099006034RN
OR
364S00000X
Clinical Nurse Specialist
Primary
200670017CNS
OR
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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