Individual provider · Type 1 NPI

Gina Lori Jackson, RN

Adult Psychiatric/Mental Health Registered Nurse · Alexandria, VA

NPI number 1659487809 Active

Practice location

8119 Holland Rd, Pact
Alexandria, VA 22306-3135

Fax (703) 780-6928

Mailing address

8616 Shadwell Dr, 67
Alexandria, VA 22309-4634

Specialties and licenses

TaxonomyCodeLicense
Adult Psychiatric/Mental Health Registered Nurse Primary 163WP0809X0001086096 (VA)

Adult Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1659487809

Gina Lori Jackson, RN's National Provider Identifier is 1659487809, issued on Aug 21, 2006. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in Alexandria, VA. The record was last updated on Jul 8, 2007.