PHARNETHIA JACKSON, NP-C

Nurse Practitioner - Family

Active Individual
NPI: 1124164173

Practice Address

2760 GODWIN BLVD STE 100
Suffolk, VA 23434

Phone: (757) 983-8650

Specialties

Specialty Code Primary License
Registered Nurse 163W00000X No 0001120025 (VA)
Nurse Practitioner - Family 363LF0000X Yes 0024164290 (VA)

Frequently Asked Questions

NPI 1124164173 is the National Provider Identifier for PHARNETHIA JACKSON, NP-C, a Nurse Practitioner - Family provider located in Suffolk, VA. This NPI was enumerated on January 29, 2007.
PHARNETHIA JACKSON, NP-C practices at 2760 GODWIN BLVD STE 100, Suffolk, VA 23434.

Quick Facts

NPI
1124164173
Type
Individual
Enumerated
Jan 29, 2007
Last Updated
Jan 16, 2024

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