Individual
MRS. CASSANDRA DALE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
177B KIRKHAM CIR, KYLE, TX 78640-8942
(512) 405-0077
Mailing address
1718 OAKWOOD LOOP, SAN MARCOS, TX 78666-1718
(512) 965-9044
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP141864
TX
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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