Individual
MRS. PAMELA S JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3299 TOWER RD, NEWBURGH, IN 47630-8301
(812) 858-8080
(812) 858-8089
Mailing address
3299 TOWER RD, NEWBURGH, IN 47630-8301
(812) 858-8080
(812) 858-8089
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28096523A
IN
363LF0000X
Family Nurse Practitioner
Primary
71004775A
IN
Other
Enumeration date
10/04/2006
Last updated
10/24/2018
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