LISA M JACKSON

ANCHORAGE, AK
NPI1770775827
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: AK  322)
Enumeration Date2007-08-13
Last Update Date2007-10-18
Business Address
-- LISA M JACKSON ANP
6307 DEBARR RD STE C
ANCHORAGE, AK 99504-1783
Phone number: 907-333-7425
Mailing Address
-- LISA M JACKSON ANP
6307 DEBARR RD STE C
ANCHORAGE, AK 99504-1783
Phone number: 907-333-7425
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