Jackson, Jessica Elise
Jackson, Jessica Elise is an individual health care provider with primary practice located at 2109 S Santa Fe Ave , Moore OK 73160-2807. 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, Jessica Elise can be contacted via phone (405) 213-0256.Contact Information
Primary practice address
2109 S Santa Fe Ave
Moore OK 73160-2807
Phone: (405) 213-0256
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | Oklahoma | |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2725 | Oklahoma |
Profile Details
| NPI number | 1023553187 |
|---|---|
| LBN Legal business name | Jackson, Jessica Elise |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2016 |
| Last updated | Jan 16th, 2020 - about 6 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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