Jeffrey A Jackson in Green Bay - Physician Assistant
Jeffrey A Jackson - NPI 1730281429
Jeffrey A Jackson is a Physician Assistant in Green Bay, Wisconsin. Jeffrey A Jackson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jeffrey A Jackson is 1730281429. The last update date is 2016-09-26.
Jeffrey A Jackson's current location address is Po Box 19070, Green Bay, Wisconsin. You can contact this provider via phone number 9204964700. The mailing address for Jeffrey A Jackson is Po Box 19070, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey A Jackson |
|---|---|
| Address | Po Box 19070, Green Bay, Wisconsin |
| Phone Number | 9204964700 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1730281429 |
|---|---|
| Provider Enumeration Date | 2006-09-02 |
| Last Updated Date | 2016-09-26 |
Provider Mailing Address Detail
| Address | Po Box 19070 |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543079070 |
| Phone Number | 9204964700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 562 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| APPR | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jeffrey A Jackson?
The Jeffrey A Jackson has been issued the NPI (National Provider Identifier) 1730281429 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Jeffrey A Jackson is physically located?
The Jeffrey A Jackson is situated at the following address: Po Box 19070, Green Bay, WI 543079070.
What is the Jeffrey A Jackson's area of specialization and corresponding taxonomy classification?
The Jeffrey A Jackson's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1730281429 to Jeffrey A Jackson?
The Jeffrey A Jackson received its 1730281429 assignment from the Centers for Medicare & Medicaid Services on 2006-09-02.
When was the information related to Jeffrey A Jackson most recently updated or refreshed?
The details pertaining to the Jeffrey A Jackson, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-09-26.