MS. Hazel Jackson, PA-C
NPI #1457684284 in Gloucester, Virginia
Provider Information
- NPI Number
- 1457684284
- Entity Type
- Individual
- Name
- MS. Hazel Jackson, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Sep 11, 2009
- Last Updated
- Sep 11, 2009
Practice Location
- Address
- 7502 JUSTICE DR
- City
- Gloucester
- State
- Virginia
- ZIP Code
- 23061-6101
- Phone
- (804) 693-1090
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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