MS. Phyllis E Jackson, PA-C
NPI #1043649627 in Glen Mills, Pennsylvania
Provider Information
- NPI Number
- 1043649627
- Entity Type
- Individual
- Name
- MS. Phyllis E Jackson, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Nov 5, 2013
- Last Updated
- May 6, 2014
Practice Location
- Address
- 300 EVERGREEN DR
- Address 2
- SUITE 150
- City
- Glen Mills
- State
- Pennsylvania
- ZIP Code
- 19342-1059
- Phone
- (610) 874-1184
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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