Brian Gene Jackson PAC

  • NPI 1245261064
According to our database, the NPI number for Brian Gene Jackson PAC is 1245261064 and activated since 17 years ago. Brian Gene Jackson PAC is an individual provider who specializes in Physician Assistant, and the primary practice location is 509 Main Street, La Jara, CO 81140. You can also contact Brian Gene Jackson PAC via telephone number is (719) 376-2308. Provider NPI information was last updated on 05/06/2021.

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Overview of Brian Gene Jackson PAC

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 07/06/2006
  • Last updated: 05/06/2021

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 843
  • License State: CO

Provider Mailing Address

  • Address: 19021 Us Highway 285
    La Jara, CO 81140
  • Phone: 719-376-2308
  • Fax: 719-274-6065

Provider Practice Location

  • Address: 509 Main Street
    La Jara, CO 81140
  • Phone: 719-376-2308
  • Fax: 719-376-2395

Scope of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 843
  • License State: CO
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 07008436
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: CO
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Brian Gene Jackson PAC?
  • A: The npi number for Brian Gene Jackson PAC is 1245261064.
  • Q: What are Brian Gene Jackson PAC's specialties?
  • A: Brian Gene Jackson PAC's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for Brian Gene Jackson PAC?
  • A: The medical license number for Brian Gene Jackson PAC is 843 and issued in CO in USA.
  • Q: Where is Brian Gene Jackson PAC practice location?
  • A: Brian Gene Jackson PAC is practicing at 509 Main Street, La Jara, CO 81140.
  • Q: How to contact Brian Gene Jackson PAC?
  • A: You can contact Brian Gene Jackson PAC via 719-376-2308.