Individual
MRS. KESHIA MARIE NESMITH JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS.ED., CCC-SLP
Contact information
Practice address
303 CHESAPEAKE AVE, PORTSMOUTH, VA 23704-1609
(757) 338-1854
Mailing address
303 CHESAPEAKE AVE, PORTSMOUTH, VA 23704-1609
(757) 338-1854
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202008107
VA
Other
Enumeration date
02/13/2017
Last updated
01/20/2023
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