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NPI Profile for WILBERTA D JACKSON in KOTZEBUE, AK.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Community Health |
163WC1500X |
| NPI Number | 1962945568 |
|
| Status | Active | |
| Credentials | RN (Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 11/30/2016 | |
| Last updated | 12/20/2016 - About 9 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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WILBERTA D JACKSON
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WILBERTA D JACKSON, RN