Lindsay Jackson PA-C

NPI 1780009225 - Physician Assistant - 363A00000X

NPI Details
NPI 1780009225
Gender Female
Enumeration Date 02/20/2014
Last Updated 02/20/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
210 W HIGHLAND RD
SUITE 102
HIGHLAND MI, 48357-4573, US
Phone (248) 887-5333
Fax
Business Location
5277 LINDEN RD
SWARTZ CREEK MI, 48473-8200, US
Phone (810) 569-3054
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Michigan
License Number 5601006907
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According to our database, Lindsay Jackson PA-C NPI is 1780009225, taxonomy code is 363A00000X and license number is 5601006907, license state is located at Michigan. Lindsay Jackson PA-C physically located at 210 W Highland Rd, Highland MI, 48357-4573. NPI Number Lindsay Jackson PA-C has the Individual type.

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1780009225 NPI number is provided on an as is basis without warranty of any kind. 1780009225 is maintained by the National Plan & Provider Enumeration System. The contents of Lindsay Jackson PA-C are for informational purposes only.