Individual provider · Type 1 NPI
Joanne Jackson, NP
Adult Health Nurse Practitioner · Springfield, MA
NPI number
1013099795
Active
Practice location
3300 Main St, 2nd Floor, Suite A
Springfield, MA 01107-1112
Fax (413) 794-0198
Mailing address
280 Chestnut St, 2nd Fl
Springfield, MA 01199-1001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 141500 (MA) |
| Family Nurse Practitioner | 363LF0000X | 141500 (MA) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | RN141500 (MA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1013099795
Joanne Jackson, NP's National Provider Identifier is 1013099795, issued on Oct 20, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Springfield, MA. The record was last updated on Jan 16, 2019.