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1275367054
JESSICA LA SHAUN JACKSON
HOLLYWOOD, FL
NPI
1275367054
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL APRN11034950)
Enumeration Date
2024-08-26
Last Update Date
2024-08-26
Business Address
JESSICA LA SHAUN JACKSON PMHNP-BC
2525 EMBASSY DR STE 14
HOLLYWOOD, FL 33026-4573
Phone number: 754-707-3144
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Mailing Address
JESSICA LA SHAUN JACKSON PMHNP-BC
2850 NW 6TH CT
FORT LAUDERDALE, FL 33311-7665
Phone number: 754-707-3144
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