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TIMOTHY EDWARD JACKINSKY NURSE PRACTITIONER
NURSE PRACTITIONER
Nurse Practitioner
NPI: 1528114519Individual
Specialties, Licenses & Credentials
Registered Nurse
Registered Nurse
Code: 163W00000X
CA452024(CA)
Nurse PractitionerPrimary
Nurse Practitioner
Code: 363L00000X
CANP16793(CA)
Contact & Hours
Via practice · 2 locations total
- Address
- 790 S Franklin, B
Ft Bragg, CA 95437 - Phone
- (707) 964-4747
Quick Facts
- NPI
- 1528114519
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 2
- Locations
- 2
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