Individual
MRS. ROSEMARY ANN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
576 JEFFERSON AVE., FORT EUSTIS, VA 23604-5548
(757) 314-7500
(757) 314-7854
Mailing address
9 FAUQUIER PL, NEWPORT NEWS, VA 23608-2005
(757) 874-6449
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
24171010
VA
Other
Enumeration date
07/22/2013
Last updated
11/30/2022
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