Jackson, Alexis Joan

Jackson, Alexis Joan is an individual health care provider with primary practice located at 303 Harris Industrial Blvd Ste 3 , Vidalia GA 30474-8854. 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, Alexis Joan can be contacted via phone (912) 537-9355.

Contact Information

Primary practice address
303 Harris Industrial Blvd Ste 3 Vidalia GA 30474-8854
Phone: (912) 537-9355
Fax: (912) 335-4804
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9793 Georgia

Profile Details

NPI number 1962026013
LBN Legal business name Jackson, Alexis Joan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2020
Last updated Jun 4th, 2020 - about 5 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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