Individual
SHERRELLE PRINCESS JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
6701 FANNIN ST, HOUSTON, TX 77030-2608
(832) 822-4242
Mailing address
2121 ALLEN PARK WAY, 4088, HOUSTON, TX 77019
(843) 622-7043
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2017005851
TX
Other
Enumeration date
09/22/2017
Last updated
09/22/2017
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