Individual
MRS. AMY FAY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-C
Contact information
Practice address
8201 EWING HALSELL DR, SAN ANTONIO, TX 78229-3707
(210) 575-8425
(210) 575-8004
Mailing address
8201 EWING HALSELL DR, SAN ANTONIO, TX 78229-3707
(210) 575-8425
(210) 575-8004
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1018934
TX
363LF0000X
Family Nurse Practitioner
1018934
TX
Other
Enumeration date
11/05/2020
Last updated
05/01/2023
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