Individual
HOLLIE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9939 TEXAS 151 ACCESS RD., SAN ANTONIO, TX 78251
(210) 643-8287
Mailing address
419 ELKGROVE CT, SAN ANTONIO, TX 78260-3573
(912) 230-1418
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
13-115882-122
KS
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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