Jackson, Angelette

Jackson, Angelette is an individual health care provider with primary practice located at 1901 Huguenot Rd Suite 309, North Chesterfield VA 23235-4311. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Jackson, Angelette can be contacted via phone (804) 955-4864.

Contact Information

Primary practice address
1901 Huguenot Rd Suite 309 North Chesterfield VA 23235-4311
Phone: (804) 955-4864
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024172629 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 0024172629 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 0024172629 Virginia

Profile Details

NPI number 1760862684
LBN Legal business name Jackson, Angelette
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2015
Last updated Mar 31st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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