MRS. Polly Rebecca Jackson, AG-ACNP is an acute care nurse practitioner in Washington, MO. MRS. Polly Rebecca Jackson, AG-ACNP NPI is 1790150688. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
901 E 5TH ST
WASHINGTON, MO
ZIP 63090-127
Phone: (636) 239-8231
The NPI 1790150688 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 12/3/2015 and was last updated on 10/25/2022.