Individual
MACKENZIE BROOKS JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
46 N CREEKSIDE CT, HOUSTON, TX 77055-7540
(281) 744-0412
Mailing address
46 N CREEKSIDE CT, HOUSTON, TX 77055-7540
(281) 744-0412
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP142710
TX
Other
Enumeration date
09/19/2020
Last updated
09/19/2020
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