Individual
PATRICIA A JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, PPCNP-BC, P
Contact information
Practice address
133 LITTLETON RD STE 101, WESTFORD, MA 01886-3198
(978) 577-0437
Mailing address
133 LITTLETON RD STE 101, WESTFORD, MA 01886-3198
(978) 577-0437
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
229632
MA
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
229632
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020860
—
MA
Enumeration date
10/14/2005
Last updated
04/14/2026
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