ANGELETTE JACKSON, NP
Nurse Practitioner - Gerontology
Active
Individual
NPI: 1760862684
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner | 363L00000X | No | 0024172629 (VA) |
| Nurse Practitioner - Adult Health | 363LA2200X | No | 0024172629 (VA) |
| Nurse Practitioner - Gerontology | 363LG0600X | Yes | 0024172629 (VA) |
Frequently Asked Questions
NPI 1760862684 is the National Provider Identifier for ANGELETTE JACKSON, NP, a Nurse Practitioner - Gerontology provider located in North Chesterfield, VA. This NPI was enumerated on June 5, 2015.
ANGELETTE JACKSON, NP practices at 1901 HUGUENOT RD, SUITE 309, North Chesterfield, VA 23235.
Quick Facts
- NPI
- 1760862684
- Type
- Individual
- Enumerated
- Jun 5, 2015
- Last Updated
- Mar 31, 2022
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