Individual
MRS. CARLA M. MICHEL JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, RNC, WHNP
Contact information
Practice address
1033 E MOUNT PLEASANT RD, EVANSVILLE, IN 47725-7149
(812) 469-3706
Mailing address
9430 BAUMGART RD, EVANSVILLE, IN 47725-1378
(812) 430-0466
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
71000549A
IN
Other
Enumeration date
03/26/2014
Last updated
03/26/2014
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