person
Lesa Marie Jackson, APRN
Family Nurse Practitioner in Irmo, South Carolina
NPI 1518570589

Lesa Marie Jackson is a Family Nurse Practitioner based in Irmo, SC and is specialized in Family. Lesa Marie Jackson practices in Irmo, SC and has the professional credentials of APRN. The NPI Number for Lesa Marie Jackson is 1518570589 and holds a License No. 23640 (South Carolina).

The current practice location address for Lesa Marie Jackson is 14 Raintree Ct, Irmo, SC and can be reached out via phone at 417-459-3020. You can also correspond with Lesa Marie Jackson through the mailing address at 14 RAINTREE CT, IRMO, SC - 29063-9431 (mailing address contact number: 417-459-3020).

Location: 14 Raintree Ct, Irmo, SC, 29063-9431
person
Provider Profile Details
NPI Number
1518570589
Provider Name
Lesa Marie Jackson
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
14 Raintree Ct, Irmo, SC, 29063-9431
Phone Number
417-459-3020
Fax Number
Provider Enumeration Date
08/28/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14 Raintree Ct
City
State
Zip
29063-9431
Phone Number
417-459-3020
Fax Number
person
Provider Business Mailing Address Details
Address
14 Raintree Ct
City
State
Zip
29063-9431
Phone Number
417-459-3020
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
23640 (South Carolina)
Definition
Definition to come...
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