Jackson, Anna Pavlovna
Jackson, Anna Pavlovna is an individual health care provider with primary practice located at 11327 Okeechobee Blvd, Ste 2 & 3 Medical Mall 2, Suite 224, Loxahatchee FL 33470. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Jackson, Anna Pavlovna can be contacted via phone (561) 340-1615.Contact Information
Primary practice address
11327 Okeechobee Blvd, Ste 2 & 3 Medical Mall 2, Suite 224
Loxahatchee FL 33470
Phone: (561) 340-1615
Fax: (561) 340-4026
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 11004601 | Florida |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | APRB11004601 | Florida |
Profile Details
| NPI number | 1801439542 |
|---|---|
| LBN Legal business name | Jackson, Anna Pavlovna |
| Credentials | PNP-PC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2019 |
| Last updated | Nov 6th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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