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Contact Information

QUINTINA FOSTER JACKSON
4510 PLANK ROAD
FREDERICKSBURG, VA22407
 Phone: 540-785-9900
 Fax: 540-785-9960
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for QUINTINA FOSTER JACKSON · (Female)

NPI Number 1255789160
Status Active
Credentials
Entity Individual
Enumeration date 06/01/2016
Last updated 06/01/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0024173538
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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