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1487615191
NANCY JACKSON
AUGUSTA, GA
NPI
1487615191
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA R110128)
Enumeration Date
2006-03-31
Last Update Date
2007-07-08
Business Address
-- NANCY JACKSON RN PNP
1115 GARREDD BLVD
AUGUSTA, GA 30909
Phone number: 706-854-9416
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Mailing Address
-- NANCY JACKSON RN PNP
1115 GARREDD BLVD
AUGUSTA, GA 30909
Phone number: 706-854-9416
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