License holder summary

STACEY RENEE JACKSON is a Certified Registered Nurse Practitioner licensed to practice in Pennsylvania. The address on file for STACEY RENEE JACKSON is Wynnewood PA 19096. This licensed professional license is current. The license was granted 11/18/2014 and expired on 10/31/2016.

Pennsylvania

Department of State

STACEY RENEE JACKSON
Certified Registered Nurse Practitioner
License number
SP014532
Date granted
11/18/2014
Date expires
10/31/2016
Class
Certified Registered Nurse Practitioner
Status
Active
Address
Wynnewood PA 19096
palicensing.org
ID 37704177
LAST UPDATED 2024-03-01 12:44:35 UTC

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