Jackson, Nancy C

Jackson, Nancy C is an individual health care provider with primary practice located at 4426 Williams Dr , Georgetown TX 78628-1341. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jackson, Nancy C can be contacted via phone (210) 468-9380.

Contact Information

Primary practice address
4426 Williams Dr Georgetown TX 78628-1341
Phone: (210) 468-9380
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 577696 Texas

Profile Details

NPI number 1447421938
LBN Legal business name Jackson, Nancy C
Credentials RN, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2008
Last updated Dec 29th, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447421938 NPPES
Texas Other P01133350 RRMC
Texas MEDICAID 196205202 RRMC
Texas MEDICAID 196205203 RRMC

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