NISHA MARIE JACKSON

MEDFORD, OR
NPI1952326266
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: OR  86006299)
Enumeration Date2006-07-13
Last Update Date2011-03-07
Business Address
-- NISHA MARIE JACKSON MS, WHCNP
3156 STATE ST
MEDFORD, OR 97504-8450
Phone number: 541-773-9772
Mailing Address
-- NISHA MARIE JACKSON MS, WHCNP
3156 STATE ST
MEDFORD, OR 97504-8450
Phone number: 541-773-9772
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