Individual
ALEXIS J JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
914 NW 13TH ST, GAINESVILLE, FL 32601-4140
(352) 377-0881
Mailing address
914 NW 13TH ST, GAINESVILLE, FL 32601-4140
(352) 377-0881
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11029601
FL
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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