Jackson, Andrea

Jackson, Andrea is an individual health care provider with primary practice located at 631 N Broad Street Ext , Grove City PA 16127-4603. 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, Andrea can be contacted via phone (724) 450-7246.

Contact Information

Primary practice address
631 N Broad Street Ext Grove City PA 16127-4603
Phone: (724) 450-7246
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA059472 Pennsylvania

Profile Details

NPI number 1558864132
LBN Legal business name Jackson, Andrea
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2018
Last updated Jun 20th, 2022 - about 3 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.

Request for update

Popular Providers