STEPHANIE D JACKSON

EFFINGHAM, IL
NPI1073258380
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: IL  209.025152)
Enumeration Date2022-05-02
Last Update Date2023-02-11
Business Address
STEPHANIE D JACKSON APRN
1901 S 4TH ST STE 26
EFFINGHAM, IL 62401-4188
Phone number: 217-660-4600
Mailing Address
STEPHANIE D JACKSON APRN
1901 S 4TH ST STE 26
EFFINGHAM, IL 62401-4188
Phone number: 217-660-4600
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