MS. TARA JACKSON, FNP-BC
Nurse Practitioner - Family
Active
Individual
NPI: 1790028082
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Family | 363LF0000X | Yes | 67047 (WV) |
Frequently Asked Questions
NPI 1790028082 is the National Provider Identifier for MS. TARA JACKSON, FNP-BC, a Nurse Practitioner - Family provider located in Ansted, WV. This NPI was enumerated on April 4, 2013.
MS. TARA JACKSON, FNP-BC practices at 123 JAMES RIVER & KANAWHA TURNPIKE, Ansted, WV 25812.
Quick Facts
- NPI
- 1790028082
- Type
- Individual
- Enumerated
- Apr 4, 2013
- Last Updated
- Apr 4, 2013
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