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Elizabeth Jackson
NPI 1891206389 · on the registry since 2017 · sole proprietor
Practice
- Address
- 2270 Lake Ave Ste 101
Fort Wayne, IN 46805 - Phone
- (260) 444-5649
- Organisation at this address
- Forensic Nursing Specialties, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 73
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-10-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana