Jackson, Brooke A

Jackson, Brooke A is an individual health care provider with primary practice located at 2331 New Holt Rd , Paducah KY 42001-7404. 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, Brooke A can be contacted via phone (270) 441-4777.

Contact Information

Primary practice address
2331 New Holt Rd Paducah KY 42001-7404
Phone: (270) 441-4777
Fax: (270) 441-4780
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA797 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085 002103 Illinois

Profile Details

NPI number 1508905662
LBN Legal business name Jackson, Brooke A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Jul 21st, 2023 - about 2 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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