KELLY JACKSON

SAN AUGUSTINE, TX
NPI1033653431
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  AP132765)
Enumeration Date2016-12-05
Last Update Date2016-12-05
Business Address
Mrs. KELLY JACKSON RN, FNP-C
606 W COLUMBIA ST
SAN AUGUSTINE, TX 75972-1709
Phone number: 936-275-2940
Mailing Address
Mrs. KELLY JACKSON RN, FNP-C
109 WOODRUFF LN
SAN AUGUSTINE, TX 75972-2637
Phone number:
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