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1871961250
JUDITH AMY JACKSON
COLUMBUS, IN
NPI
1871961250
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: IN 28173738A)
Enumeration Date
2015-09-02
Last Update Date
2024-09-09
Business Address
JUDITH AMY JACKSON FNP-C
2118 25TH ST STE C
COLUMBUS, IN 47201-3240
Phone number: 812-372-8426
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Mailing Address
JUDITH AMY JACKSON FNP-C
PO BOX 775383
CHICAGO, IL 60677-5383
Phone number: 812-376-5315
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