FREDERICKA JACKSON

LA VISTA, NE
NPI1457993750
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: NE  112991)
Enumeration Date2019-10-08
Last Update Date2020-07-02
Business Address
FREDERICKA JACKSON
6901 S 84TH ST
LA VISTA, NE 68128-2127
Phone number: 402-339-1090
Mailing Address
FREDERICKA JACKSON
6901 S 84TH ST
LA VISTA, NE 68128-2127
Phone number: 402-339-1090
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