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1720557671
JANECIA SONYELL JACKSON
LONGVIEW, TX
NPI
1720557671
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP139351)
Enumeration Date
2018-11-21
Last Update Date
2023-11-16
Business Address
JANECIA SONYELL JACKSON FNP-C
1300 N 6TH ST STE A
LONGVIEW, TX 75601-5567
Phone number: 903-232-1785
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Mailing Address
JANECIA SONYELL JACKSON FNP-C
PO BOX 2709
LONGVIEW, TX 75606-2709
Phone number: 903-212-7800
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