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Mrs. Alisha Jackson, FNP
Family Nurse Practitioner in Peru, Illinois
NPI 1487197745

Alisha Jackson is a Family Nurse Practitioner based in Grand Ridge, IL and is specialized in Family. Alisha Jackson practices in Peru, IL and has the professional credentials of FNP. The NPI Number for Alisha Jackson is 1487197745 and holds a License No. 209.015095 (Illinois).

The current practice location address for Alisha Jackson is 1650 Midtown Rd, Peru, IL and can be reached out via phone at 815-220-2645.

Location: 1650 Midtown Rd, Peru, IL, 61325-9100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487197745
Provider Name
Alisha Jackson
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1650 Midtown Rd, Peru, IL, 61325-9100
Phone Number
815-220-2645
Fax Number
Provider Enumeration Date
11/18/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1650 Midtown Rd
City
Peru
State
Illinois
Zip
61354-1200
Phone Number
815-220-2645
Fax Number
person
Provider Business Mailing Address Details
Address
1650 Midtown Rd
City
Peru
State
Illinois
Zip
61354-1200
Phone Number
815-220-2645
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209.015095 (Illinois)
Definition
Definition to come...
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