AMBER A JACKSON

URBANA, IL
NPI1801263413
Former NameAMBER A NAGELE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209013205)
Enumeration Date2015-08-31
Last Update Date2017-04-03
Business Address
-- AMBER A JACKSON NP
611 W. PARK ST. GASTROENTEROLOGY
URBANA, IL 61801-2500
Phone number: 217-383-3610
Mailing Address
-- AMBER A JACKSON NP
611 W. PARK ST. BWPC
URBANA, IL 61801-2500
Phone number: 217-383-6941
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