Jackson, Brian John

Jackson, Brian John is an individual health care provider with primary practice located at 391 Lee Blvd Ste 300 , Lehigh Acres FL 33936-4973. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Jackson, Brian John can be contacted via phone (239) 369-4088.

Contact Information

Primary practice address
391 Lee Blvd Ste 300 Lehigh Acres FL 33936-4973
Phone: (239) 369-4088
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9111499 Florida

Profile Details

NPI number 1083198659
LBN Legal business name Jackson, Brian John
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2018
Last updated Mar 14th, 2019 - about 6 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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