T JACKSON

MONTEREY, CA
NPI1033681655
Former NameTRACEY SOPER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95010717)
Enumeration Date2018-12-20
Last Update Date2024-08-02
Business Address
T JACKSON APRN
245 WASHINGTON ST
MONTEREY, CA 93940-2409
Phone number: 831-372-2273
Mailing Address
T JACKSON APRN
713 MILTON BLUFF LANE
HOLLY SPRINGS, NC 27540-4503
Phone number: 984-332-7015
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