Individual
MRS. YOLANDA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CARE COORDINATOR
Contact information
Practice address
10103 SKIFF CIR, ANCHORAGE, AK 99515-2578
(907) 227-6892
(907) 644-8612
Mailing address
10103 SKIFF CIR, ANCHORAGE, AK 99515-2578
(907) 227-6892
(907) 644-8612
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMG176
—
AK
Enumeration date
05/25/2007
Last updated
11/16/2007
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