Individual provider · Type 1 NPI
Veliria Virginia Jackson, NURSE PRACTITIONER
Family Nurse Practitioner · Tolleson, AZ
NPI number
1104433317
Active
Practice location
9136 W Williams St
Tolleson, AZ 85353-5590
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 245356 (AZ) |
Family Nurse Practitioner: Definition to come...
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About NPI 1104433317
Veliria Virginia Jackson, NURSE PRACTITIONER's National Provider Identifier is 1104433317, issued on Sep 30, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tolleson, AZ. The record was last updated on Sep 30, 2020.