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1639179435
JOHNNA L JACKSON
LAKE CITY, FL
NPI
1639179435
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL ARNP2552432)
Enumeration Date
2005-07-22
Last Update Date
2009-05-15
Business Address
Mrs. JOHNNA L JACKSON ARNP
1847 SW BARNETT WAY
LAKE CITY, FL 32025
Phone number: 386-755-2240
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Mailing Address
Mrs. JOHNNA L JACKSON ARNP
1847 SW BARNETT WAY
LAKE CITY, FL 32025
Phone number: 386-755-2240
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