Chad T Jackson, PA-C
NPI #1467773481 in Coudersport, Pennsylvania
Provider Information
- NPI Number
- 1467773481
- Entity Type
- Individual
- Name
- Chad T Jackson, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Jun 14, 2010
- Last Updated
- Apr 1, 2021
Practice Location
- Address
- 1001 E 2ND ST
- City
- Coudersport
- State
- Pennsylvania
- ZIP Code
- 16915-8161
- Phone
- (814) 274-0900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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