Individual
ALEXIS SARA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
94 OLD SHORT HILLS RD, LIVINGSTON, NJ 07039-5672
(973) 322-5000
Mailing address
139 GREEN AVE, MADISON, NJ 07940-2511
(862) 485-7840
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NR24149400
NJ
Other
Enumeration date
05/08/2026
Last updated
05/08/2026
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