STACIE JACKSON, PA-C

Physician Assistant

Active Individual
NPI: 1538683909

Practice Address

1630 DRY CREEK DR STE 200
Longmont, CO 80503

Phone: (720) 279-9098

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes PA.0005029 (CO)

Frequently Asked Questions

NPI 1538683909 is the National Provider Identifier for STACIE JACKSON, PA-C, a Physician Assistant provider located in Longmont, CO. This NPI was enumerated on July 27, 2017.
STACIE JACKSON, PA-C practices at 1630 DRY CREEK DR STE 200, Longmont, CO 80503.

Quick Facts

NPI
1538683909
Type
Individual
Enumerated
Jul 27, 2017
Last Updated
Aug 3, 2021

Nearby Providers