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1992935621
SUSAN MARIE JACKSON
CAPE GIRARDEAU, MO
NPI
1992935621
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 074797)
Enumeration Date
2009-07-15
Last Update Date
2021-03-04
Business Address
Mrs. SUSAN MARIE JACKSON APRN, FNP-BC
211 SAINT FRANCIS DR
CAPE GIRARDEAU, MO 63703-5049
Phone number: 573-331-5329
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Mailing Address
Mrs. SUSAN MARIE JACKSON APRN, FNP-BC
PO BOX 801143
KANSAS CITY, MO 64180-1143
Phone number: 573-331-5583
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