Allison R. Jackson PA-C

NPI 1063489003 - Physician Assistant - 363A00000X

NPI Details
NPI 1063489003
Gender Female
Enumeration Date 03/08/2006
Last Updated 03/13/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
17000 MEDICAL CENTER DR
BATON ROUGE LA, 70816-3246, US
Phone (225) 752-2470
Fax
Business Location
PO BOX 841307
PEMBROKE PINES FL, 33084-3307, US
Phone
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Louisiana
License Number A10363
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According to our database, Allison R. Jackson PA-C NPI is 1063489003, taxonomy code is 363A00000X and license number is A10363, license state is located at Louisiana. Allison R. Jackson PA-C physically located at 17000 Medical Center Dr, Baton Rouge LA, 70816-3246. NPI Number Allison R. Jackson PA-C has the Individual type.

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1063489003 NPI number is provided on an as is basis without warranty of any kind. 1063489003 is maintained by the National Plan & Provider Enumeration System. The contents of Allison R. Jackson PA-C are for informational purposes only.