| NPI | 1154983146 |
|---|---|
| Former Name | JADA NICOLE JACKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 170300000X Genetic Counselor, MS |
| Additional Taxonomies | 170300000X Genetic Counselor, MS (Licence: OK 0339) |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2020-07-21 |