Individual
MS. MARCIA PLANT JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8102 CLEARVISTA PKWY, FAIRBANKS, INDIANAPOLIS, IN 46256
(317) 849-8222
Mailing address
4 CEMETARY RD, LEVERETT, MA 01054-9796
(317) 902-6829
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71000659A
IN
Other
Enumeration date
08/29/2006
Last updated
08/11/2014
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