ANITRA L JACKSON

SAINT PAUL, MN
NPI1497718811
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WM0705X Registered Nurse, Medical-Surgical
(Licence: MN  R1308387)
Enumeration Date2006-04-07
Last Update Date2007-07-08
Business Address
Ms. ANITRA L JACKSON NP
310 SMITH AVE N
SAINT PAUL, MN 55102-2393
Phone number: 952-843-4333
Mailing Address
Ms. ANITRA L JACKSON NP
310 SMITH AVE N
SAINT PAUL, MN 55102-2383
Phone number: 952-843-4333