NPI | 1386005460 |
---|---|
Professional Name | INAISHA M JACKSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ00625000) |
Enumeration Date | 2016-03-16 |
Last Update Date | 2018-08-16 |