Jackson, Brittany Amber

Jackson, Brittany Amber is an individual health care provider with primary practice located at 404 S Sutherland Ave , Monroe NC 28112-5060. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Jackson, Brittany Amber can be contacted via phone (704) 291-9267.

Contact Information

Primary practice address
404 S Sutherland Ave Monroe NC 28112-5060
Phone: (704) 291-9267
Fax: (704) 776-4078
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-02343 North Carolina

Profile Details

NPI number 1730492638
LBN Legal business name Jackson, Brittany Amber
Credentials P.A.C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2010
Last updated Oct 14th, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730492638 NPPES
North Carolina Other NCO3388C MEDICARE PTAN
North Carolina MEDICAID 8101604 MEDICARE PTAN

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