person
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. You can also correspond with Fredericka Jackson through the mailing address at 6901 S 84TH ST, LA VISTA, NE - 68128-2127 (mailing address contact number: 402-339-1090).

Location: 6901 S 84Th St, La Vista, NE, 68128-2127
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
State
Zip
68128-2127
Phone Number
402-339-1090
Fax Number
person
Provider Business Mailing Address Details
Address
6901 S 84Th St
City
State
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
License No.
112991 (Nebraska)
Definition
Definition to come...
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