Crystal L Jackson PA C

  • 1548298953 NPI Number
  • |
  • Actived: 13 years ago
  • |
According to our database, the NPI number for Crystal L Jackson PA C is 1548298953 and activated since 13 years ago. Crystal L Jackson PA C is an individual provider who specializes in Physician Assistant, and the primary practice location is 61 1st St, South Orange, NJ 07079. You can also contact Crystal L Jackson PA C via telephone number is (973) 762-8344. Provider NPI information was last updated on 06/24/2010.

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Overview of Crystal L Jackson PA C

  • NPI number: 1972141950
  • Provider type: Individual
  • Gender: Female
  • Active since: 06/28/2006
  • Last updated: 06/24/2010

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 25MP00046700
  • License State: NJ

Provider Mailing Address

  • Address: 61 1st St
    South Orange, NJ 07079
  • Phone: 913-762-8344
  • Fax: 973-762-1626

Provider Practice Location

  • Address: 61 1st St
    South Orange, NJ 07079
  • Phone: 973-762-8344
  • Fax: 973-762-1626

Scope of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 25MP000467
  • License State: NJ
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: P3404235
  • Identifier Type: Other
  • Identifier State: NJ
  • Issuer: OXFORD

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Crystal L Jackson PA C?
  • A: The npi number for Crystal L Jackson PA C is 1548298953.
  • Q: What are Crystal L Jackson PA C's specialties?
  • A: Crystal L Jackson PA C's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for Crystal L Jackson PA C?
  • A: The medical license number for Crystal L Jackson PA C is 25MP00046700 and issued in NJ in USA.
  • Q: Where is Crystal L Jackson PA C practice location?
  • A: Crystal L Jackson PA C is practicing at 61 1st St, South Orange, NJ 07079.
  • Q: How to contact Crystal L Jackson PA C?
  • A: You can contact Crystal L Jackson PA C via 973-762-8344.