Jackson, Anna Pavlovna

Jackson, Anna Pavlovna is an individual health care provider with primary practice located at 11327 Okeechobee Blvd, Ste 2 & 3 Medical Mall 2, Suite 224, Loxahatchee FL 33470. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Jackson, Anna Pavlovna can be contacted via phone (561) 340-1615.

Contact Information

Primary practice address
11327 Okeechobee Blvd, Ste 2 & 3 Medical Mall 2, Suite 224 Loxahatchee FL 33470
Phone: (561) 340-1615
Fax: (561) 340-4026
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 11004601 Florida
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X APRB11004601 Florida

Profile Details

NPI number 1801439542
LBN Legal business name Jackson, Anna Pavlovna
Credentials PNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2019
Last updated Nov 6th, 2023 - 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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