Individual
KARI L JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
830 KEMPSVILLE RD, NORFOLK, VA 23502-3920
(757) 261-6000
Mailing address
1212 OLIVE RD, VIRGINIA BEACH, VA 23464-5928
(757) 710-7494
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024183043
VA
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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