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Individual
BOBBIE JACKSON
Active
Individual
BOBBIE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, AGACNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024190222
VA
363LA2100X
Acute Care Nurse Practitioner
1029618
TX
Other
Enumeration date
02/12/2021
Last updated
06/21/2024
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