WAYNE JACKSON, PA
Physician Assistant - Medical
Active
Individual
NPI: 1750387023
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | 004496 (NY) |
Frequently Asked Questions
NPI 1750387023 is the National Provider Identifier for WAYNE JACKSON, PA, a Physician Assistant - Medical provider located in Potsdam, NY. This NPI was enumerated on June 22, 2005.
WAYNE JACKSON, PA practices at 50 LEROY ST, Potsdam, NY 13676.
Quick Facts
- NPI
- 1750387023
- Type
- Individual
- Enumerated
- Jun 22, 2005
- Last Updated
- Mar 31, 2021
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