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

DARLENE JACKSON

Active Sole Proprietor

DARLENE JACKSON is a Van Provider healthcare provider located in CEDAR BLUFF, Virginia. NPI 1508240854 is currently active in the NPPES registry. Verify at CMS.

Van Provider · CEDAR BLUFF, VA

Registration Details

NPI Number
1508240854
Provider Type
Individual
Gender
Female
NPI Issued
Jul 16, 2015 (11.077934629046 yrs)
Last Updated
Jul 16, 2015
License
104 (VA)
Sole Proprietor
Yes

Practice Information

Address
97 KNOBS LANE
CEDAR BLUFF, VA, 246093205
Browse VA providers · Browse ZIP 24609
Phone
2768802330
Fax
2768802329
Primary Specialty
Van Provider
344600000X
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.