Individual provider · Type 1 NPI

Alisha Jackson, FNP

Family Nurse Practitioner · Peru, IL

NPI number 1487197745 Active

Practice location

1650 Midtown Rd
Peru, IL 61354-1200

Mailing address

235 Poundstone Ave, PO Box 42
Grand Ridge, IL 61325-9100

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209.015095 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1487197745

Alisha Jackson, FNP's National Provider Identifier is 1487197745, issued on Nov 18, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Peru, IL. The record was last updated on Nov 18, 2016.