Individual
ERIN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 E VETERANS ST, TOMAH, WI 54660-3105
(608) 372-3971
Mailing address
PO BOX 64, ONALASKA, WI 54650-0064
(608) 387-3971
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
161965-30
WI
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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