NPI 1083904502

William Materson Jackson, CRNFA

Practitioner Registered Nurse First Assistant Blacksburg, VA

Practice location

Address: 1730 Brunswick Dr, Blacksburg, VA 24060-1988
Phone: (540) 953-1970

Registered specialties

Registered Nurse First Assistant Primary

Nursing Service Providers Taxonomy 163WR0006X Licence 0001170063 (VA)

Other Registered Nurse providers in Virginia →

Registry record

NPI: 1083904502
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Apr 2011
Record last updated: 18 Apr 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.