Kristi Lyn Jackson PA

NPI 1730360462 - Physician Assistant - 363A00000X

NPI Details
NPI 1730360462
Gender Female
Enumeration Date 11/22/2007
Last Updated 12/18/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
316 CLARK ST
CAMBRIDGE OH, 43725-1932, US
Phone (740) 432-2718
Fax
Business Location
1251 CLARK ST
CAMBRIDGE OH, 43725-9612, US
Phone (740) 439-0733
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Ohio
License Number 50.002701
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According to our database, Kristi Lyn Jackson PA NPI is 1730360462, taxonomy code is 363A00000X and license number is 50.002701, license state is located at Ohio. Kristi Lyn Jackson PA physically located at 316 Clark St, Cambridge OH, 43725-1932. NPI Number Kristi Lyn Jackson PA has the Individual type.

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1730360462 NPI number is provided on an as is basis without warranty of any kind. 1730360462 is maintained by the National Plan & Provider Enumeration System. The contents of Kristi Lyn Jackson PA are for informational purposes only.