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

ALYSSA JANE JACKSON

Active

ALYSSA JANE JACKSON is a Family Nurse Practitioner healthcare provider located in SEBEKA, Minnesota. NPI 1487266078 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · SEBEKA, MN

Registration Details

NPI Number
1487266078
Provider Type
Individual
Gender
Female
NPI Issued
Aug 17, 2020 (5.9841548122524 yrs)
Last Updated
Feb 5, 2024
Licenses
R49629 (ND)
7592 (MN)

Practice Information

Address
106 MN AVE
SEBEKA, MN, 56477
Browse MN providers · Browse ZIP 56477
Phone
2188375333
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner
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.