Individual
SHIRLEY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7600 GEOGIA AVE, SUITE 323, WASHINGTON, DC 20012
(202) 723-3060
(202) 723-3065
Mailing address
7600 GEOGIA AVE, SUITE 323, WASHINGTON, DC 20012
(202) 723-3060
(202) 723-3065
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN57555
DC
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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