MS. PHYLLIS JACKSON, PA-C
Physician Assistant
Active
Individual
NPI: 1043649627
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | MA000510L (PA) |
Frequently Asked Questions
NPI 1043649627 is the National Provider Identifier for MS. PHYLLIS JACKSON, PA-C, a Physician Assistant provider located in Glen Mills, PA. This NPI was enumerated on November 5, 2013.
MS. PHYLLIS JACKSON, PA-C practices at 300 EVERGREEN DR, SUITE 150, Glen Mills, PA 19342.
Quick Facts
- NPI
- 1043649627
- Type
- Individual
- Enumerated
- Nov 5, 2013
- Last Updated
- May 6, 2014
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