TRACY JACKSON

MARION, IN
NPI1932334091
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: IN  28147465A)
Enumeration Date2009-05-19
Last Update Date2013-11-22
Business Address
Mrs. TRACY JACKSON NP
1389 N BALDWIN AVE
MARION, IN 46952-1913
Phone number: 765-618-2118
Mailing Address
Mrs. TRACY JACKSON NP
1389 N BALDWIN AVE
MARION, IN 46952-1913
Phone number: 765-618-2118
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