Jackson, Chau N.
Jackson, Chau N. is an individual health care provider with primary practice located at 1700 E 38Th St , Marion IN 46953-4568. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Jackson, Chau N. can be contacted via phone (765) 674-3321.Contact Information
Primary practice address
1700 E 38Th St
Marion IN 46953-4568
Phone: (765) 674-3321
Fax: (765) 677-5167
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 71007563A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 71007563A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 71007563A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 71007563A | Indiana |
Profile Details
| NPI number | 1336650795 |
|---|---|
| LBN Legal business name | Jackson, Chau N. |
| Credentials | AGPCNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2017 |
| Last updated | Sep 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336650795 | NPPES |
| Indiana | Other | 71007563A | APN PRESCRIPTIVE AUTHORITY |
| Indiana | Other | 28199163A | APN PRESCRIPTIVE AUTHORITY |
| Indiana | Other | 71007563B | APN PRESCRIPTIVE AUTHORITY |
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