Individual provider · Type 1 NPI
Lori Jackson, NP-C
Family Nurse Practitioner · St. George Island, AK
NPI number
1528565710
Active
Practice location
934 Main St
St. George Island, AK 99591
Fax (907) 859-2252
Mailing address
17115 Monroe Dr NW
Elk River, MN 55330-4307
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 130523 (AK) |
Family Nurse Practitioner: Definition to come...
About NPI 1528565710
Lori Jackson, NP-C's National Provider Identifier is 1528565710, issued on Apr 12, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. George Island, AK. The record was last updated on Jun 16, 2018.