Individual
AMBER DAWN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
117 SW TAYLOR ST, BURLESON, TX 76028-3813
(817) 965-1267
Mailing address
117 SW TAYLOR ST, BURLESON, TX 76028-3813
(817) 965-1267
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
204184
TX
Other
Enumeration date
12/06/2019
Last updated
12/06/2019
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