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Organization
LIAISON NP LLC
Active
Organization
LIAISON NP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHA V JACKSON APRN (MANAGER)
(954) 204-7197
Entity
Organization
Contact information
Practice address
4101 N ANDREWS AVE STE 108, FORT LAUDERDALE, FL 33309-4769
(954) 204-7197
(954) 735-9358
Mailing address
4101 N ANDREWS AVE STE 108, FORT LAUDERDALE, FL 33309-4769
(954) 204-7197
(954) 735-9358
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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