MARY KATHERINE JACKSON

JACKSONVILLE, FL
NPI1780664854
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  420469)
Enumeration Date2006-01-17
Last Update Date2007-07-08
Business Address
Ms. MARY KATHERINE JACKSON FNP
2080 CHILD ST
JACKSONVILLE, FL 32214-5005
Phone number: 904-542-7516
Mailing Address
Ms. MARY KATHERINE JACKSON FNP
2521 SUNNY CREEK DR
ORANGE PARK, FL 32003-4970
Phone number: 904-542-7516