John T Jackson, PA-C
NPI #1295792687 in Newport, Rhode Island
Provider Information
- NPI Number
- 1295792687
- Entity Type
- Individual
- Name
- John T Jackson, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Apr 28, 2006
- Last Updated
- Apr 10, 2009
Practice Location
- Address
- 11 FRIENDSHIP ST
- City
- Newport
- State
- Rhode Island
- ZIP Code
- 02840-2271
- Phone
- (401) 845-1593
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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