Individual
DELOVELY GLORIA JACKSON
Active
Individual
DELOVELY GLORIA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209013987
IL
363LF0000X
Family Nurse Practitioner
277001922
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F400298104
FPN MEDICARE PTAN
—
Enumeration date
03/30/2016
Last updated
05/08/2023
Update your record
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