| NPI | 1134644396 |
|---|---|
| Other Name | SIMONE JACKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002716) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP134295) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV APRN002716) | |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2021-04-14 |