Individual
SARA ANN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(608) 256-1901
(608) 280-7096
Mailing address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(608) 256-1901
(608) 280-7096
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041-315722
IL
163W00000X
Registered Nurse
149184-30
WI
363L00000X
Nurse Practitioner
Primary
6125-33
WI
Other
Enumeration date
10/28/2014
Last updated
12/07/2023
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