Michelene Jackson, PA

NPI #1679565394 in Aurora, Colorado

Provider Information

NPI Number
1679565394
Entity Type
Individual
Name
Michelene Jackson, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Aug 18, 2005
Last Updated
Apr 12, 2016

Practice Location

Address
3292 PEORIA ST
City
Aurora
ZIP Code
80010-1517
Phone
(303) 360-6276

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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