Individual provider · Type 1 NPI

Mary Halbert Jackson, AGPCNP

Adult Health Nurse Practitioner · Jacksonville, FL

NPI number 1679283444 Active

Practice location

6300 Beach Blvd
Jacksonville, FL 32216-2708

Mailing address

11732 Habroso Ln
Jacksonville, FL 32258-2104

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X11021289 (FL)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1679283444

Mary Halbert Jackson, AGPCNP's National Provider Identifier is 1679283444, issued on Dec 1, 2022. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Jacksonville, FL. The record was last updated on Dec 1, 2022.