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Alyssa Jane Jackson
Family Nurse Practitioner in Sebeka, Minnesota
NPI 1487266078

Alyssa Jane Jackson is a Family Nurse Practitioner based in Sebeka, MN and is specialized in Family. Alyssa Jane Jackson practices in Sebeka, MN. The NPI Number for Alyssa Jane Jackson is 1487266078 and holds a License No. R49629 (Minnesota).

The current practice location address for Alyssa Jane Jackson is 106 Mn Ave, Sebeka, MN and can be reached out via phone at 218-837-5333.

Location: 106 Mn Ave, Sebeka, MN, 56477
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487266078
Provider Name
Alyssa Jane Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
106 Mn Ave, Sebeka, MN, 56477
Phone Number
218-837-5333
Fax Number
Provider Enumeration Date
08/17/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
106 Mn Ave
City
Sebeka
State
Minnesota
Zip
56477
Phone Number
218-837-5333
Fax Number
person
Provider Business Mailing Address Details
Address
106 Mn Ave
City
Sebeka
State
Minnesota
Zip
56477
Phone Number
218-837-5333
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
R49629 (North Dakota)
Definition
Definition to come...
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