KRISTIE LYNN JACKSON

BLACKSBURG, VA
NPI1053407817
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: VA  0024167104)
Enumeration Date2006-10-05
Last Update Date2007-07-08
Business Address
Mrs. KRISTIE LYNN JACKSON NP
3700 SOUTH MAIN STREET
BLACKSBURG, VA 24060
Phone number: 540-953-5385
Mailing Address
Mrs. KRISTIE LYNN JACKSON NP
2900 MUDPIKE ROAD
CHRISTIANSBURG, VA 24073
Phone number: 540-382-9139
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