Individual
MRS. TAMEIKA L JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
5001 E PATRICK HENRY HWY, BURKEVILLE, VA 23922-9274
(804) 766-3458
Mailing address
3905 HARVEST CREST DR, RICHMOND, VA 23223-1699
(804) 437-3031
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024183579
VA
Other
Enumeration date
03/11/2022
Last updated
05/23/2024
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