Individual provider · Type 1 NPI

Valencia Jackson

Gerontology Registered Nurse · Hampton, VA

NPI number 1235771536 Active

Practice location

914 Thornbriar Ct
Hampton, VA 23661-1026

Call (757) 254-8409 Map

Mailing address

PO Box 1343
Hampton, VA 23661-0343

Specialties and licenses

Taxonomy	Code	License
Gerontology Registered Nurse Primary	163WG0600X	0001178399 (VA)

Gerontology Registered Nurse: Definition to come...

About NPI 1235771536

Valencia Jackson's National Provider Identifier is 1235771536, issued on Oct 8, 2019. The primary taxonomy on file is Gerontology Registered Nurse (163WG0600X), and the practice location is in Hampton, VA. The record was last updated on Oct 8, 2019.