Jackson, Andrea J

Jackson, Andrea J is an individual health care provider with primary practice located at 636 Raymond Dr Ste 303 , Naperville IL 60563-9792. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Jackson, Andrea J can be contacted via phone (630) 653-4240.

Contact Information

Primary practice address
636 Raymond Dr Ste 303 Naperville IL 60563-9792
Phone: (630) 653-4240
Fax: (630) 315-1505
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 209-009581 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209009581 Illinois

Profile Details

NPI number 1447511746
LBN Legal business name Jackson, Andrea J
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2012
Last updated Nov 21st, 2023 - about 2 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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