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Chau N. Jackson, AGPCNP-BC
Nurse Practitioner in Marion, Indiana
NPI 1336650795

Chau N. Jackson is a Nurse Practitioner based in Marion, IN. Chau N. Jackson practices in Marion, IN and has the professional credentials of AGPCNP-BC. The NPI Number for Chau N. Jackson is 1336650795 and holds a License No. 71007563A (Indiana).

The current practice location address for Chau N. Jackson is 1700 E 38Th St, Marion, IN and can be reached out via phone at 765-674-3321 and via fax at 765-677-5167.

Location: 1700 E 38Th St, Marion, IN, 46953-4568
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336650795
Provider Name
Chau N. Jackson
Credential
AGPCNP-BC
Provider Entity Type
Individual
Gender
Female
Address
1700 E 38Th St, Marion, IN, 46953-4568
Phone Number
765-674-3321
Fax Number
765-677-5167
Provider Enumeration Date
10/12/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
71007563A 01 IN APN PRESCRIPTIVE AUTHORITY
28199163A 01 IN REGISTERED NURSE
71007563B 01 IN CSR-PRESCRIPTIVE AUTHORITY
institution
Provider Business Practice Location Address Details
Address
1700 E 38Th St
City
Marion
State
Indiana
Zip
46953-4568
Phone Number
765-674-3321
Fax Number
765-677-5167
person
Provider Business Mailing Address Details
Address
1700 E 38Th St
City
Marion
State
Indiana
Zip
46953-4568
Phone Number
765-674-3321
Fax Number
765-677-5167
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
71007563A (Indiana)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
71007563A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
71007563A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
71007563A (Indiana)
Definition
Definition to come...
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