Pamela Jackson, PA-C

NPI #1083171631 in Port Chester, New York

Provider Information

NPI Number: 1083171631
Entity Type: Individual
Name: Pamela Jackson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Mar 1, 2019
Last Updated: May 21, 2019

Practice Location

Address: 5 GRACE CHURCH ST
City: Port Chester
State: New York
ZIP Code: 10573-4911
Phone: (914) 937-8899

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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