BENNETT J JACKSON

ANCHORAGE, AK
NPI1568523157
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: AK  666)
Enumeration Date2006-12-13
Last Update Date2007-07-09
Business Address
-- BENNETT J JACKSON ANP
6307 DEBARR RD STE C
ANCHORAGE, AK 99504-1783
Phone number: 907-333-7425
Mailing Address
-- BENNETT J JACKSON ANP
6307 DEBARR RD STE C
ANCHORAGE, AK 99504-1783
Phone number: 907-333-7425