Individual provider · Type 1 NPI

Patricia L. Jackson, FNP

Family Nurse Practitioner · Mishawaka, IN

NPI number 1376557702 Active

Practice location

230 W Catalpa Dr, Suite D
Mishawaka, IN 46545-8321

Call (574) 257-7551 Map

Fax (574) 257-7535

Mailing address

230 Catalpa, Suite D
Mishawaka, IN 46545

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X71001911A (IN)

Family Nurse Practitioner: Definition to come...

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About NPI 1376557702

Patricia L. Jackson, FNP's National Provider Identifier is 1376557702, issued on Jul 28, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mishawaka, IN. The record was last updated on Jul 5, 2019.