LESA MARIE JACKSON

IRMO, SC
NPI1518570589
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: SC  23640)
Enumeration Date2020-08-28
Last Update Date2020-08-28
Business Address
LESA MARIE JACKSON APRN
14 RAINTREE CT
IRMO, SC 29063-9431
Phone number: 417-459-3020
Mailing Address
LESA MARIE JACKSON APRN
14 RAINTREE CT
IRMO, SC 29063-9431
Phone number: 417-459-3020
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