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Individual

KRISTEN ELIZABETH JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
2418 FLETCHERS RIDGE RD, VANSANT, VA 24656-7554
(276) 701-1390
Mailing address
2418 FLETCHERS RIDGE RD, VANSANT, VA 24656-7554
(276) 701-1390

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024185074
VA

Other

Enumeration date
10/18/2022
Last updated
10/18/2022
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