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1205942927
MARY LOUISE JACKSON
WILMINGTON, NC
NPI
1205942927
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 900188)
Enumeration Date
2006-08-23
Last Update Date
2022-03-15
Business Address
MARY LOUISE JACKSON NP
1500 PHYSICIANS DR
WILMINGTON, NC 28401-7356
Phone number: 910-662-9500
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Mailing Address
MARY LOUISE JACKSON NP
PO BOX 936857
ATLANTA, GA 31193-6857
Phone number:
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