Individual
CHARLOTTE LYNETTA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7610 ASHMOLE LN, HOUSTON, TX 77088-5658
(713) 898-8337
Mailing address
7610 ASHMOLE LN, HOUSTON, TX 77088-5658
(713) 898-8337
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
253464
TX
Other
Enumeration date
04/17/2019
Last updated
04/17/2019
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