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1487968012
FREDDA NAKIA JACKSON
MORRISTOWN, NJ
NPI
1487968012
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: NJ 26NJ00264900)
Enumeration Date
2010-08-06
Last Update Date
2013-12-19
Business Address
Miss FREDDA NAKIA JACKSON MSN, APN-C
100 MADISON AVE
MORRISTOWN, NJ 07960-6136
Phone number: 201-704-8416
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Mailing Address
Miss FREDDA NAKIA JACKSON MSN, APN-C
PO BOX 416457
BOSTON, MA 02241-6457
Phone number: 973-656-6280
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