Individual
FELICIA ANNETTE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
17610 DURHAM RIDGE LN, HUMBLE, TX 77346-2986
(281) 973-8212
Mailing address
17610 DURHAM RIDGE LN, HUMBLE, TX 77346-2986
(281) 973-8212
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
741762
TX
Other
Enumeration date
02/04/2009
Last updated
02/04/2009
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