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Patricia L Jackson, FNP
Family Nurse Practitioner in Mishawaka, Indiana
NPI 1376557702

Patricia L Jackson is a Family Nurse Practitioner based in Mishawaka, IN and is specialized in Family. Patricia L Jackson practices in Mishawaka, IN and has the professional credentials of FNP. The NPI Number for Patricia L Jackson is 1376557702 and holds a License No. 71001911A (Indiana).

The current practice location address for Patricia L Jackson is 230 W Catalpa Dr, Mishawaka, IN and can be reached out via phone at 574-257-7551 and via fax at 574-257-7535.

Location: 230 W Catalpa Dr, Mishawaka, IN, 46545
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376557702
Provider Name
Patricia L Jackson
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
230 W Catalpa Dr, Mishawaka, IN, 46545
Phone Number
574-257-7551
Fax Number
574-257-7535
Provider Enumeration Date
07/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200519100 05 IN
institution
Provider Business Practice Location Address Details
Address
230 W Catalpa Dr
City
Mishawaka
State
Indiana
Zip
46545-8321
Phone Number
574-257-7551
Fax Number
574-257-7535
person
Provider Business Mailing Address Details
Address
230 W Catalpa Dr
City
Mishawaka
State
Indiana
Zip
46545-8321
Phone Number
574-257-7551
Fax Number
574-257-7535
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
71001911A (Indiana)
Definition
Definition to come...
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