Individual
AIMEE L JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHCNP
Contact information
Practice address
6701 FANNIN ST, HOUSTON, TX 77030-2608
(832) 824-1000
Mailing address
2 GREENWAY PLZ STE 300, HOUSTON, TX 77046-0207
(832) 828-3660
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
616204
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150685902
—
TX
Enumeration date
12/08/2006
Last updated
07/11/2013
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