KATIE JACKSON, PA-C

Physician Assistant

Active Individual
NPI: 1194077156

Practice Address

1306 MAPLE STREET
FERRELL HOSPITAL FAMILY PRACTICE
Eldorado, IL 62930

Phone: (618) 273-3361

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 085004431 (IL)

Frequently Asked Questions

NPI 1194077156 is the National Provider Identifier for KATIE JACKSON, PA-C, a Physician Assistant provider located in Eldorado, IL. This NPI was enumerated on October 15, 2012.
KATIE JACKSON, PA-C practices at 1306 MAPLE STREET, FERRELL HOSPITAL FAMILY PRACTICE, Eldorado, IL 62930.

Quick Facts

NPI
1194077156
Type
Individual
Enumerated
Oct 15, 2012
Last Updated
Dec 3, 2013

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