Jackson, Phyllis E
Jackson, Phyllis E is an individual health care provider with primary practice located at 300 Evergreen Dr Suite 150, Glen Mills PA 19342-1059. 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, Phyllis E can be contacted via phone (610) 874-1184.Contact Information
Primary practice address
300 Evergreen Dr Suite 150
Glen Mills PA 19342-1059
Phone: (610) 874-1184
Fax: (610) 874-4258
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | MA000510L | Pennsylvania |
Profile Details
| NPI number | 1043649627 |
|---|---|
| LBN Legal business name | Jackson, Phyllis E |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 5th, 2013 |
| Last updated | May 6th, 2014 - about 12 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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