Ashley Janae Jackson PA-C

NPI 1740515063 - Physician Assistant - 363AM0700X

NPI Details
NPI 1740515063
Gender Female
Enumeration Date 10/04/2009
Last Updated 10/04/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
811 13TH ST STE 11
UNIVERSITY PROFESSIONAL BUILDING 3
AUGUSTA GA, 30901-2771, US
Phone (706) 823-6177
Fax
Business Location
811 13TH ST STE 11
UNIVERSITY PROFESSIONAL BUILDING 3
AUGUSTA GA, 30901-2771, US
Phone (706) 823-6177
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State Georgia
License Number 005676
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According to our database, Ms. Ashley Janae Jackson PA-C NPI is 1740515063, taxonomy code is 363AM0700X and license number is 005676, license state is located at Georgia. Ashley Janae Jackson PA-C physically located at 811 13th St Ste 11, Augusta GA, 30901-2771. NPI Number Ashley Janae Jackson PA-C has the Individual type.

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1740515063 NPI number is provided on an as is basis without warranty of any kind. 1740515063 is maintained by the National Plan & Provider Enumeration System. The contents of Ashley Janae Jackson PA-C are for informational purposes only.