Jillian Jackson in Mesa - Physician Assistant
Jillian Jackson - NPI 1336246628
Jillian Jackson is a Physician Assistant in Mesa, Arizona. Jillian Jackson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jillian Jackson is 1336246628. The last update date is 2017-09-02.
Jillian Jackson's current location address is 6644 E Baywood Ave, Mesa, Arizona. You can contact this provider via phone number 4809812000. The mailing address for Jillian Jackson is 6644 E Baywood Ave, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jillian Jackson |
|---|---|
| Address | 6644 E Baywood Ave, Mesa, Arizona |
| Phone Number | 4809812000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1336246628 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2017-09-02 |
Provider Mailing Address Detail
| Address | 6644 E Baywood Ave |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852061747 |
| Phone Number | 4809812000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 3102 |
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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 |
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Post Comment/ Review Below
What is the Jillian Jackson's 1336246628?
The Jillian Jackson's NPI (National Provider Identifier) Number is 1336246628. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jillian Jackson?
The Jillian Jackson is situated at 6644 E Baywood Ave, in the city of Mesa, state of AZ, with the zip code 852061747.
What is Jillian Jackson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jillian Jackson is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did the Jillian Jackson receive the assignment of its 1336246628 from the Centers for Medicare & Medicaid Services?
The Jillian Jackson was issued its 1336246628 by the Centers for Medicare & Medicaid Services on 2006-09-20.
As of what date were the details related to Jillian Jackson most recently updated or revised?
The information pertaining to Jillian Jackson, including its address, specialty, and other relevant details, was last updated or revised on 2017-09-02.
NPI Number: 1366446767
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