MARIE R. JACKSON

LEXINGTON, KY
NPI1497144950
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TN  19290)
Enumeration Date2015-01-21
Last Update Date2016-04-05
Business Address
-- MARIE R. JACKSON CRNA
310 S LIMESTONE
LEXINGTON, KY 40508-3008
Phone number: 859-252-6612
Mailing Address
-- MARIE R. JACKSON CRNA
PO BOX 637931
CINCINNATI, OH 45263-7931
Phone number: 615-327-4304
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