Individual
DALLAS TAYLOR JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19277 PLANTATION RD, REHOBOTH BEACH, DE 19971-4411
(302) 567-1500
Mailing address
19277 PLANTATION RD, REHOBOTH BEACH, DE 19971-4411
(302) 567-1500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0055490
DE
363LF0000X
Family Nurse Practitioner
Primary
LG-0012827
DE
Other
Enumeration date
06/29/2023
Last updated
12/21/2025
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