Rachel Jackson, PA
Physician Assistant in Augusta, ME. Individual provider (NPI-1).
NPI number1982168373
StatusActive
Last updated in NPPESDec 3, 2022
Details
- NPI
- 1982168373
- Entity type
- Individual (NPI-1)
- Name
- Rachel Jackson
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 30, 2019
- Certification date
- Dec 3, 2022
- Last updated
- Dec 3, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA2022 | ME | Yes |
| 363A00000X | Physician Assistant | – | NY |
Practice location
35 Medical Center PkwyAugusta, ME 04330-8160
Phone 207-872-7171
Mailing address
Po Box 943Sabattus, ME 04280-0943
Other practice locations
177 Fort Washington Ave
New York, NY 10032-3733
New York, NY 10032-3733
Phone 212-305-2500
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All 78 Physician Assistant providers in Augusta · All 2,040 providers in Augusta
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