person
Ms. Tara Leigh Jackson, FNP-BC
Family Nurse Practitioner in Ansted, West Virginia
NPI 1790028082

Tara Leigh Jackson is a Family Nurse Practitioner based in Ansted, WV and is specialized in Family. Tara Leigh Jackson practices in Ansted, WV and has the professional credentials of FNP-BC. The NPI Number for Tara Leigh Jackson is 1790028082 and holds a License No. 67047 (West Virginia).

The current practice location address for Tara Leigh Jackson is 123 James River & Kanawha Turnpike, Ansted, WV and can be reached out via phone at 304-228-6809 and via fax at 304-658-4690.

Location: 123 James River & Kanawha Turnpike, Ansted, WV, 25812
person
Provider Profile Details
NPI Number
1790028082
Provider Name
Tara Leigh Jackson
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
123 James River & Kanawha Turnpike, Ansted, WV, 25812
Phone Number
304-228-6809
Fax Number
304-658-4690
Provider Enumeration Date
04/04/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
123 James River & Kanawha Turnpike
City
State
Zip
25812
Phone Number
304-228-6809
Fax Number
304-658-4690
person
Provider Business Mailing Address Details
Address
123 James River & Kanawha Turnpike
City
State
Zip
25812
Phone Number
304-228-6809
Fax Number
304-658-4690
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
67047 (West Virginia)
Definition
Definition to come...
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