Priscilla Jackson, CFNP Valid NPI

Individual provider · Nurse Practitioner · Fayette, MS

NPI

1962583971

Type

Individual (Type 1)

Primary specialty

Nurse Practitioner

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363L00000X

License number

R852296 (MS)

Sex

Female

Sole proprietor

No

Enumerated

2006-10-17

Last updated

2007-07-08