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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. WILLIAM MATERSON JACKSON, CRNFA

Active Sole Proprietor

MR. WILLIAM MATERSON JACKSON, CRNFA is a Registered Nurse First Assistant healthcare provider located in BLACKSBURG, Virginia. NPI 1083904502 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse First Assistant · BLACKSBURG, VA

Registration Details

NPI Number
1083904502
Provider Type
Individual
Gender
Male
NPI Issued
Apr 18, 2011 (15.346065899944 yrs)
Last Updated
Apr 18, 2011
License
0001170063 (VA)
Sole Proprietor
Yes

Practice Information

Address
1730 BRUNSWICK DR
BLACKSBURG, VA, 240601988
Browse VA providers · Browse ZIP 24060
Phone
5409531970
Primary Specialty
Registered Nurse First Assistant
163WR0006X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.