CAROL JACKSON, PA-C
Physician Assistant
Active
Individual
NPI: 1457567265
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | MA052046 (PA) |
Frequently Asked Questions
NPI 1457567265 is the National Provider Identifier for CAROL JACKSON, PA-C, a Physician Assistant provider located in Philadelphia, PA. This NPI was enumerated on May 16, 2007.
CAROL JACKSON, PA-C practices at 333 COTTMAN AVE, Philadelphia, PA 19111.
Quick Facts
- NPI
- 1457567265
- Type
- Individual
- Enumerated
- May 16, 2007
- Last Updated
- Dec 1, 2022
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