Dana A Jackson, PA-C
NPI #1235692112 in Great Bend, Kansas
Provider Information
- NPI Number
- 1235692112
- Entity Type
- Individual
- Name
- Dana A Jackson, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Apr 9, 2019
- Last Updated
- Oct 17, 2023
Practice Location
- Address
- 1514 KS HWY 96
- City
- Great Bend
- State
- Kansas
- ZIP Code
- 67530
- Phone
- (402) 770-8575
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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