Jenna Nura Jackson, PA-C
NPI #1023610151 in Hazel Park, Michigan
Provider Information
- NPI Number
- 1023610151
- Entity Type
- Individual
- Name
- Jenna Nura Jackson, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Nov 13, 2020
- Last Updated
- Dec 1, 2020
Practice Location
- Address
- 624 E 9 MILE RD
- City
- Hazel Park
- State
- Michigan
- ZIP Code
- 48030-1842
- Phone
- (248) 629-7497
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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