| NPI | 1801877907 |
|---|---|
| Professional Name | PAULA DEAUN JACKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA TP004745D) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: NJ 26NJ00025500) |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2024-05-21 |