Jackson, Autumn A
Jackson, Autumn A is an individual health care provider with primary practice located at 3300 Gallows Rd Inova Fairfax Ed, Falls Church VA 22042-3307. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Jackson, Autumn A can be contacted via phone (703) 776-2690.Contact Information
Primary practice address
3300 Gallows Rd Inova Fairfax Ed
Falls Church VA 22042-3307
Phone: (703) 776-2690
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | C0003077 | Maryland |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 0110002073 | Virginia |
Profile Details
| NPI number | 1689629099 |
|---|---|
| LBN Legal business name | Jackson, Autumn A |
| Credentials | MHS, PA-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Jul 11th, 2011 - about 15 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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