Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FREDERICKA JACKSON
ActiveFREDERICKA JACKSON is a Family Nurse Practitioner healthcare provider located in LA VISTA, Nebraska. NPI 1457993750 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · LA VISTA, NE
Registration Details
- NPI Number
- 1457993750
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 8, 2019 (6.8415836097033 yrs)
- Last Updated
- Jul 2, 2020
- License
-
112991 (NE)
Practice Information
- Address
-
6901 S 84TH STLA VISTA, NE, 681282127Browse NE providers · Browse ZIP 68128
- Phone
- 4023391090
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in LA VISTA, NE
| Name | Credential | NPI |
|---|---|---|
| MRS. ANGELA MARIE GILFILLAN | APRN | 1790917854 |
| ERIN E THOMAN | APRN | 1750721890 |
| DR. KRISTIN M CHRONIC | DNP, APRN, FNP-C | 1962836023 |
| MRS. JILL MARIE BROWN | APRN | 1356757728 |
| TANYA LLANQUE | — | 1619364742 |
| KATHRYN E HUERTER | APRN | 1457893158 |
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.