Jackson, Megan

Jackson, Megan is an individual health care provider with primary practice located at 1650 Cowles St , Fairbanks AK 99701-5907. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jackson, Megan can be contacted via phone (907) 458-5100.

Contact Information

Primary practice address
1650 Cowles St Fairbanks AK 99701-5907
Phone: (907) 458-5100
Fax: (907) 458-5151
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2819322A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 198878 Alaska

Profile Details

NPI number 1205227097
LBN Legal business name Jackson, Megan
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2015
Last updated Mar 20th, 2023 - about 3 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 1205227097 NPPES
Indiana MEDICAID 201282850
Indiana Other 71005406A
Indiana Other P01512420
Indiana Other 198878

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