Organization
JACKSON HEALTH, PLLC
Active
Other names
Jackson Health
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE DAWN JACKSON APRN (FNP/OWNER)
(218) 282-0457
Entity
Organization
Contact information
Practice address
14878 E HARMONY DR, EFFINGHAM, IL 62401-4849
(218) 282-0457
Mailing address
14878 E HARMONY DR, EFFINGHAM, IL 62401-4849
(218) 282-0457
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/19/2023
Last updated
08/01/2023
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