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Individual
MRS. MICHELLE JACKSON
Active
Individual
MRS. MICHELLE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
ARNP 9171924
FL
363LF0000X
Family Nurse Practitioner
Primary
298929
GA
363LG0600X
Gerontology Nurse Practitioner
ARNP 9171924
FL
Other
Enumeration date
12/01/2015
Last updated
02/25/2021
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