Jackson, Carmella

Jackson, Carmella is an individual health care provider with primary practice located at 916 School Ave , Matteson IL 60443-1832. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jackson, Carmella can be contacted via phone (773) 941-1587.

Contact Information

Primary practice address
916 School Ave Matteson IL 60443-1832
Phone: (773) 941-1587
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209020232 Illinois

Profile Details

NPI number 1336782200
LBN Legal business name Jackson, Carmella
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2019
Last updated Oct 23rd, 2019 - about 5 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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