Individual
MRS. JUDY GOLDSON JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP BC
Contact information
Practice address
2020 S INDEPENDENCE BLVD, SUITE 5, VIRGINIA BEACH, VA 23453-4776
(757) 471-6903
(757) 471-3974
Mailing address
2020 S INDEPENDENCE BLVD, SUITE 5, VIRGINIA BEACH, VA 23453-4776
(757) 471-6903
(757) 471-3974
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
0024049242
VA
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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