JOHNNIE JACKSON

JACKSON, MS
NPI1407244452
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  R127260)
Enumeration Date2014-12-29
Last Update Date2014-12-29
Business Address
-- JOHNNIE JACKSON RN
1901 W COUNTY LINE RD
JACKSON, MS 39213-7847
Phone number: 601-497-1306
Mailing Address
-- JOHNNIE JACKSON RN
1901 W COUNTY LINE RD
JACKSON, MS 39213-7847
Phone number: 601-497-1306
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