Jackson, Amanda Sue

Jackson, Amanda Sue is an individual health care provider with primary practice located at 850 5Th St , Gonzales CA 93926-9491. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child Abuse Pediatrics, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Jackson, Amanda Sue can be contacted via phone (831) 675-3601.

Contact Information

Primary practice address
850 5Th St Gonzales CA 93926-9491
Phone: (831) 675-3601
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child Abuse Pediatrics 2080C0008X 77092-20 Wisconsin
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 77092-20 Wisconsin

Profile Details

NPI number 1811906316
LBN Legal business name Jackson, Amanda Sue
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Jun 25th, 2024 - about last year

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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