Marcia Plant Jackson, NP
Nurse Practitioner in Indianapolis, IN. Individual provider (NPI-1).
NPI number1346358330
StatusActive
Last updated in NPPESAug 11, 2014
Details
- NPI
- 1346358330
- Entity type
- Individual (NPI-1)
- Name
- Ms. Marcia Plant Jackson
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 29, 2006
- Last updated
- Aug 11, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 71000659A | IN | Yes |
Practice location
8102 Clearvista PkwyFairbanks
Indianapolis, IN 46256
Phone 317-849-8222
Mailing address
4 Cemetary RdLeverett, MA 01054-9796
Phone 317-902-6829
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