Individual
MISS FREDDA NAKIA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APN-C
Contact information
Practice address
100 MADISON AVE, MORRISTOWN, NJ 07960-6136
(201) 704-8416
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(973) 656-6280
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ00264900
NJ
Other
Enumeration date
08/06/2010
Last updated
12/19/2013
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