ELIZABETH R JACKSON

SOUTHAVEN, MS
NPI1316143282
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  R786799)
Enumeration Date2007-06-26
Last Update Date2014-11-25
Business Address
-- ELIZABETH R JACKSON N.P.
176 GOODMAN RD W
SOUTHAVEN, MS 38671-9405
Phone number: 662-536-1020
Mailing Address
-- ELIZABETH R JACKSON N.P.
176 GOODMAN RD W
SOUTHAVEN, MS 38671-9405
Phone number: 662-536-1020
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