Individual
SHARON DENISE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2475 GARRISON AVE, PORT ST JOE, FL 32456-5265
(850) 227-1276
(850) 639-5934
Mailing address
209 GARY ROWELL RD, WEWAHITCHKA, FL 32465-4028
(850) 639-5501
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN2934482
FL
Other
Enumeration date
02/28/2006
Last updated
07/08/2007
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