Individual
ALCHAR G JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1046 DIVISION ST, BILOXI, MS 39530-2935
(228) 374-2494
(228) 374-0856
Mailing address
1046 DIVISION ST, BILOXI, MS 39530-2935
(228) 374-2494
(228) 374-0856
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R873748
MS
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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