Individual
SEAN MICHAEL JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
125 2ND AVE NW, PLAINVIEW, MN 55964-1222
(507) 951-3830
Mailing address
3001 5TH AVE NW, ROCHESTER, MN 55901-2321
(507) 993-1708
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
2121217
MN
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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