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Lea Jackson, NP
Family Nurse Practitioner in Indianapolis, Indiana
NPI 1093282063

Lea Jackson is a Family Nurse Practitioner based in Indianapolis, IN and is specialized in Family. Lea Jackson practices in Indianapolis, IN and has the professional credentials of NP. The NPI Number for Lea Jackson is 1093282063 and holds a License No. AP60914149 (Indiana).

The current practice location address for Lea Jackson is 1481 W 10Th St, Indianapolis, IN and can be reached out via phone at 317-554-0000.

Location: 1481 W 10Th St, Indianapolis, IN, 46202-2803
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Provider Profile Details
NPI Number
1093282063
Provider Name
Lea Jackson
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1481 W 10Th St, Indianapolis, IN, 46202-2803
Phone Number
317-554-0000
Fax Number
Provider Enumeration Date
10/29/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Q00387667 01 IN RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1481 W 10Th St
City
State
Zip
46202-2803
Phone Number
317-554-0000
Fax Number
person
Provider Business Mailing Address Details
Address
1481 W 10Th St
City
State
Zip
46202-2803
Phone Number
317-554-0000
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP60914149 (Washington)
Definition
Definition to come...
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