Individual
MRS. STACEY ANN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1010 CENTRAL AVENUE, SUITE 2, BILLINGS, MT 59102
(406) 869-1066
Mailing address
1010 CENTRAL AVENUE, SUITE 2, BILLINGS, MT 59102
(406) 869-1066
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
35557.1401
WY
363LF0000X
Family Nurse Practitioner
73310
MT
363LF0000X
Family Nurse Practitioner
Primary
APRN-100806
MT
Other
Enumeration date
04/16/2015
Last updated
10/18/2017
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