Individual
PAMELA SUE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3300 RIVERMONT AVE, LYNCHBURG, VA 24503-2030
(434) 200-4504
Mailing address
3300 RIVERMONT AVE, LYNCHBURG, VA 24503-2030
(434) 200-4504
(434) 200-4590
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
0024175936
VA
Other
Enumeration date
03/31/2006
Last updated
02/18/2019
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