ALISHA JACKSON

PERU, IL
NPI1487197745
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209.015095)
Enumeration Date2016-11-18
Last Update Date2016-11-18
Business Address
Mrs. ALISHA JACKSON FNP
1650 MIDTOWN RD
PERU, IL 61354-1200
Phone number: 815-220-2645
Mailing Address
Mrs. ALISHA JACKSON FNP
235 POUNDSTONE AVE PO BOX 42
GRAND RIDGE, IL 61325-9100
Phone number: 815-236-0024
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