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Contact Information

WILLIAM M JACKSON, CRNFA
1730 BRUNSWICK DR
BLACKSBURG, VA24060-1988
 Phone: 540-953-1970
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse First Assistant

163WR0006X
Indicates primary specialty

NPI Profile & details for WILLIAM M JACKSON · (Male)

NPI # 1083904502
Status Active
Credentials CRNFA
Entity Individual
Enumeration date 04/18/2011
Last updated 04/18/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 0001170063
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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