SUSAN CAPRICE JACKSON

LUMBERTON, NJ
NPI1619722972
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NJ  26NJ15059000)
Enumeration Date2024-04-20
Last Update Date2024-04-30
Business Address
SUSAN CAPRICE JACKSON PMHNP-BC
14 WESTMINSTER DR
LUMBERTON, NJ 08048-5064
Phone number: 917-400-5108
Mailing Address
SUSAN CAPRICE JACKSON PMHNP-BC
14 WESTMINSTER DR
LUMBERTON, NJ 08048-5064
Phone number: 917-400-5108