Pamela Jackson, PA-C
Physician Assistant in Port Chester, NY. Individual provider (NPI-1).
NPI number1083171631
StatusActive
Last updated in NPPESMay 21, 2019
Details
- NPI
- 1083171631
- Entity type
- Individual (NPI-1)
- Name
- Pamela Jackson
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 1, 2019
- Last updated
- May 21, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | NY | Yes |
Practice location
5 Grace Church StPort Chester, NY 10573-4911
Phone 914-937-8899
Mailing address
5 Grace Church StPort Chester, NY 10573-4911
Phone 914-937-8899
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Other Physician Assistant providers in Port Chester, NY
- Leo Caamano, PANPI 1598982944
- Julie Michelle Griggs, PA-CNPI 1831745942
- Yaritza Herrera, PA-CNPI 1245059625
- Wanda Uribe, P.A.NPI 1184814360
All 5 Physician Assistant providers in Port Chester · All 353 providers in Port Chester
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