Individual
MRS. APRIL DAWN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1127 KEEN RD, FOUR OAKS, NC 27524-8785
(804) 536-9198
Mailing address
1127 KEEN RD, FOUR OAKS, NC 27524-8785
(804) 536-9198
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5010552
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024166269
STATE NP LICENSE
VA
Enumeration date
05/29/2007
Last updated
12/29/2022
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