Individual
DR. DEBRA ANN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
8183 KIPLING ST, PENSACOLA, FL 32514-7441
(724) 480-2402
Mailing address
8183 KIPLING ST, PENSACOLA, FL 32514-7441
(724) 480-2402
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH12346
FL
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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