Individual
MS. ELIZABETH ANNE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
411 W TIPTON ST, SEYMOUR, IN 47274-2363
(812) 524-4253
(812) 524-4255
Mailing address
411 W TIPTON ST, SEYMOUR, IN 47274-2363
(812) 524-4253
(812) 524-4255
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71008703A
IN
Other
Enumeration date
11/29/2017
Last updated
02/04/2019
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