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 Date2025-06-25
Business Address
STEPHANIE D JACKSON APRN
900 W TEMPLE AVE STE 1500
EFFINGHAM, IL 62401-2121
Phone number: 217-347-0458
Mailing Address
STEPHANIE D JACKSON APRN
900 W TEMPLE AVE
EFFINGHAM, IL 62401-2121
Phone number: 217-347-0458