Individual
LESLIE K JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1600 ROCKLAND ROAD, WILMINGTON, DE 19803-3607
(302) 651-4200
(302) 651-5365
Mailing address
P O BOX 191, ROCKLAND, DE 19723-0191
(302) 651-4000
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
L6-0A00529
DE
367500000X
Certified Registered Nurse Anesthetist
RN1004822
DC
367H00000X
Anesthesiologist Assistant
Primary
L6-0A00529
DE
Other
Enumeration date
01/10/2007
Last updated
10/03/2023
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