Judy Nanesi Arthur Jackson, PA
Physician Assistant in Springfield, MA. Individual provider (NPI-1).
NPI number1619600681
StatusActive
Last updated in NPPESApr 13, 2024
Details
- NPI
- 1619600681
- Entity type
- Individual (NPI-1)
- Name
- Judy Nanesi Arthur Jackson
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 6, 2022
- Certification date
- Apr 13, 2024
- Last updated
- Apr 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA9504 | MA | Yes |
Practice location
305 Bicentennial HighwayDepartment Of Pediatrics
Springfield, MA 01118
Phone 413-733-4101 · Fax 413-783-9544
Mailing address
588 Longmeadow StLongmeadow, MA 01106-2212
Phone 413-565-1000
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