JUDITH JACKSON

TAMPA, FL
NPI1952444721
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  ARNP1613922)
Enumeration Date2007-02-14
Last Update Date2007-07-08
Business Address
-- JUDITH JACKSON ARNP
13856 N DALE MABRY HWY
TAMPA, FL 33618-2420
Phone number: 813-264-1885
Mailing Address
-- JUDITH JACKSON ARNP
4212 GOLF CLUB LN
TAMPA, FL 33618-2728
Phone number: 813-964-9565
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