Krista L. Jackson in Prestonsburg - Physician Assistant

Krista L. Jackson - NPI 1457330227

Krista L. Jackson is a Physician Assistant in Prestonsburg, Kentucky. Krista L. Jackson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Krista L. Jackson is 1457330227. The last update date is 2015-05-15.

Krista L. Jackson's current location address is Po Box 406, Prestonsburg, Kentucky. You can contact this provider via phone number 6068896185 and fax number 6068896186. The mailing address for Krista L. Jackson is Po Box 406, Prestonsburg, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Krista L. Jackson
Address Po Box 406, Prestonsburg, Kentucky
Phone Number 6068896185
Fax Number 6068896186
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1457330227
Provider Enumeration Date 2006-01-11
Last Updated Date 2015-05-15

Provider Mailing Address Detail

Address Po Box 406
City Prestonsburg
State Kentucky (KY)
Post Code 416530406
Phone Number 6068896185
Fax Number 6068896186

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA 586
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
95003141 KY --
520426 KY BCBS
P00290504 RAILROAD

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FAQs about Krista L. Jackson

What is the unique identifier code issued to Krista L. Jackson by the Centers for Medicare & Medicaid Services?

The Krista L. Jackson has been assigned the NPI (National Provider Identifier) 1457330227. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Krista L. Jackson is geographically located?

The Krista L. Jackson is physically situated at the following location: Po Box 406, Prestonsburg, KY, 416530406.

What is Krista L. Jackson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Krista L. Jackson is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.

When was the Krista L. Jackson's 1457330227 issued?

The Krista L. Jackson's 1457330227 was issued on 2006-01-11.

When was the information regarding Krista L. Jackson most recently updated?

The details pertaining to the Krista L. Jackson, including its address, specialty, and other relevant information, were last refreshed on 2015-05-15.

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