Katie Elizabeth Jackson, PA-C

NPI #1194077156 in Eldorado, Illinois

Provider Information

NPI Number: 1194077156
Entity Type: Individual
Name: Katie Elizabeth Jackson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 15, 2012
Last Updated: Dec 3, 2013

Practice Location

Address: 1306 MAPLE STREET
Address 2: FERRELL HOSPITAL FAMILY PRACTICE
City: Eldorado
State: Illinois
ZIP Code: 62930-1666
Phone: (618) 273-3361

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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Organizations

Provider Name	Specialty	City
Ferrell Hospital Community Foundation	Physician Assistant	Eldorado	AI Deep Dive

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