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1366056871
TERRY LYNN JACKSON
SHREVEPORT, LA
NPI
1366056871
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: LA 200793)
Enumeration Date
2020-09-02
Last Update Date
2021-06-16
Business Address
Dr. TERRY LYNN JACKSON DNP, ACNPC-AG
2551 GREENWOOD RD STE 210
SHREVEPORT, LA 71103-3985
Phone number: 318-635-0834
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Mailing Address
Dr. TERRY LYNN JACKSON DNP, ACNPC-AG
2551 GREENWOOD RD STE 210
SHREVEPORT, LA 71103-3985
Phone number: 318-635-0834
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