| Doctor Name: | MRS. KAREN JACKSON |
| NPI Number: | 1124274774 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | 1-087343 |
| Business Practice Address: | 107 Nicole Pl Daphne, AL - 365267614 |
| Business Phone Number: | 2515336372 |
| Business Fax Number: | 8662824895 |
| Mailing Address: | 107 Nicole Pl, DAPHNE |
| State: | AL |
| Postal Code: | 365267614 |
| Phone Number: | 2515336372 |
| Fax Number: | 8662824895 |
| NPI Enumeration Date: | 08/14/2008 |
| NPI Last Update Date: | 10/19/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | 1-087343 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |