Individual
MRS. SHARRON MCKINNEY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9501 FARRELL RD, STE GC11, DEWITT ARMY HOSPITAL, FT BELVIOR, VA 22060
(703) 805-9329
Mailing address
10901 MEANDERVIEW CT, MANASSAS, VA 20111-4388
(703) 361-7346
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
0001096964
VA
Other
Enumeration date
11/09/2005
Last updated
07/08/2007
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