JACQUELINE A JACKSON

HUNTINGTON, WV
NPI1578504569
Former NameJACQUELINE A FAUCETTE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WV  34192)
Enumeration Date2006-06-09
Last Update Date2021-10-25
Business Address
JACQUELINE A JACKSON CFNP
5170 US RT 60 EAST
HUNTINGTON, WV 25705
Phone number: 304-697-6000
Mailing Address
JACQUELINE A JACKSON CFNP
5170 US RT 60 EAST
HUNTINGTON, WV 25705
Phone number: 304-697-6000
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