Individual
SARAH LYNN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
985 FOREST MILLS RD, WAUKON, IA 52172-7574
(563) 794-0662
Mailing address
985 FOREST MILLS RD, WAUKON, IA 52172-7574
(563) 794-0662
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
128088
IA
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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