ERIN MIRANDA JACKSON

COLUMBIA, SC
NPI1174961551
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  041347034)
Enumeration Date2013-06-07
Last Update Date2013-06-07
Business Address
-- ERIN MIRANDA JACKSON FNP
4500 STUART ST
COLUMBIA, SC 29207-5700
Phone number: 309-360-5141
Mailing Address
-- ERIN MIRANDA JACKSON FNP
14908 MCKNEW RD
BURTONSVILLE, MD 20866-1339
Phone number: 309-360-5141
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