Individual
SOPHIE FRANCES JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CNM
Contact information
Practice address
71 NASH HILL RD, WILLIAMSBURG, MA 01096-9730
(508) 596-3773
Mailing address
71 NASH HILL RD, WILLIAMSBURG, MA 01096-9730
(508) 596-3773
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN10000713
MA
163W00000X
Registered Nurse
RN315147
GA
367A00000X
Advanced Practice Midwife
Primary
RN10000713
MA
Other
Enumeration date
09/19/2022
Last updated
05/13/2024
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