Individual
DAUN LEAH JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
100 HEARTLAND DRIVE, HEARTLAND OF BECKLEY, BECKLEY, WV 25801
(304) 256-1650
(304) 256-1657
Mailing address
RR 1 BOX 148F, OAK HILL, WV 25901
(304) 465-0415
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
36724
WV
Other
Enumeration date
01/31/2008
Last updated
01/31/2008
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