Female

Angela Jackson APRN

Psychiatric/Mental Health Nurse Practitioner in Tallahassee, FL(View on Map)

Full Name

Angela Jackson APRN

NPI Number

1821492265

NPI Type

Individual Provider

Gender

Female

Enumeration Date

10/14/2014

Specialties

(Taxonomies)

Code

363LP0808X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

9316685

Contact
Information

Purpose

Mailing
Location

Address

2606 CENTENNIAL PL
2606 CENTENNIAL PL

City

Tallahassee
Tallahassee

State

FL
FL

Postal Code

32308-0572
32308

Country

US
US

Telephone Number

(850) 205-0189
(850) 205-0189

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/13/2019

Provider Address

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