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Alicia Michelle Jackson
Family Nurse Practitioner in Richardson, Texas
NPI 1346856408

Alicia Michelle Jackson is a Family Nurse Practitioner based in Desoto, TX and is specialized in Family. Alicia Michelle Jackson practices in Richardson, TX. The NPI Number for Alicia Michelle Jackson is 1346856408 and holds a License No. AP145482 (Texas).

The current practice location address for Alicia Michelle Jackson is 605 W Campbell Rd, Richardson, TX and can be reached out via phone at 972-231-3522.

Location: 605 W Campbell Rd, Richardson, TX, 75115-4325
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346856408
Provider Name
Alicia Michelle Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
605 W Campbell Rd, Richardson, TX, 75115-4325
Phone Number
972-231-3522
Fax Number
Provider Enumeration Date
09/23/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
605 W Campbell Rd
City
Richardson
State
Texas
Zip
75080-3302
Phone Number
972-231-3522
Fax Number
person
Provider Business Mailing Address Details
Address
605 W Campbell Rd
City
Richardson
State
Texas
Zip
75080-3302
Phone Number
972-231-3522
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP145482 (Texas)
Definition
Definition to come...
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