Krista Jackson, PA

NPI #1881435725 in Lagrange, Indiana

Provider Information

NPI Number: 1881435725
Entity Type: Individual
Name: Krista Jackson, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jun 4, 2024
Last Updated: Jul 12, 2024

Practice Location

Address: 2500 N DETROIT ST
City: Lagrange
State: Indiana
ZIP Code: 46761-1158
Phone: (260) 463-2133

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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