Individual
JULIA M JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2349 MILL ST, ALIQUIPPA, PA 15001-2219
(247) 302-0469
Mailing address
2349 MILL ST, ALIQUIPPA, PA 15001-2219
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP017941
PA
Other
Enumeration date
10/30/2017
Last updated
09/13/2019
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