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Celeste M Jackson, NP

Nurse Practitioner in Marshfield, WI. Individual provider (NPI-1).

NPI number1720180409
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1720180409
Entity type
Individual (NPI-1)
Name
Celeste M Jackson
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Sep 2, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner2248WIYes

Practice location

1000 N Oak Ave
Marshfield, WI 54449-5777

Phone 715-387-5602

Mailing address

1000 N Oak Ave
Marshfield, WI 54449-5777

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