Individual provider · Type 1 NPI
Tara Leigh Jackson, FNP-BC
Family Nurse Practitioner · Ansted, WV
NPI number
1790028082
Active
Practice location
123 James River & Kanawha Turnpike
Ansted, WV 25812
Fax (304) 658-4690
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 67047 (WV) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
Other family nurse practitioner providers in Ansted
About NPI 1790028082
Tara Leigh Jackson, FNP-BC's National Provider Identifier is 1790028082, issued on Apr 4, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ansted, WV. The record was last updated on Apr 4, 2013.