Jackson-Howard, Carla Jean

Jackson-Howard, Carla Jean is an individual health care provider with primary practice located at 1600 N Grand Ave Ste 530, Pueblo CO 81003-2700. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Jackson-Howard, Carla Jean can be contacted via phone (719) 595-7790.

Contact Information

Primary practice address
1600 N Grand Ave Ste 530 Pueblo CO 81003-2700
Phone: (719) 595-7790
Fax: (719) 595-7799
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 79051 Colorado

Profile Details

NPI number 1629246665
LBN Legal business name Jackson-Howard, Carla Jean
Credentials ACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2008
Last updated Jan 13th, 2010 - about 16 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 1629246665 NPPES
Colorado Other 79051 CO LICENSE NUMBER

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