Individual provider · Type 1 NPI
Susan Elizabeth Jackson, NP
Family Nurse Practitioner · Mc Lean, VA
NPI number
1962877431
Active
Practice location
1365 Beverly Rd, 2nd Floor
Mc Lean, VA 22101-3624
Mailing address
5825 Ridings Manor Pl
Centreville, VA 20120-4914
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 0024172843 (VA) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1962877431
Susan Elizabeth Jackson, NP's National Provider Identifier is 1962877431, issued on Dec 9, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mc Lean, VA. The record was last updated on Mar 30, 2016.