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Fredericka Jackson
Family Nurse Practitioner in La Vista, Nebraska
NPI 1457993750

Fredericka Jackson is a Family Nurse Practitioner based in La Vista, NE and is specialized in Family. Fredericka Jackson practices in La Vista, NE. The NPI Number for Fredericka Jackson is 1457993750 and holds a License No. 112991 (Nebraska).

The current practice location address for Fredericka Jackson is 6901 S 84Th St, La Vista, NE and can be reached out via phone at 402-339-1090.

Location: 6901 S 84Th St, La Vista, NE, 68128-2127
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457993750
Provider Name
Fredericka Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
6901 S 84Th St, La Vista, NE, 68128-2127
Phone Number
402-339-1090
Fax Number
Provider Enumeration Date
10/08/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6901 S 84Th St
City
La Vista
State
Nebraska
Zip
68128-2127
Phone Number
402-339-1090
Fax Number
person
Provider Business Mailing Address Details
Address
6901 S 84Th St
City
La Vista
State
Nebraska
Zip
68128-2127
Phone Number
402-339-1090
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
112991 (Nebraska)
Definition
Definition to come...
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