Jackson, Cynthia L

Jackson, Cynthia L is an individual health care provider with primary practice located at 4101 S 4Th St , Leavenworth KS 66048-5014. 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, Cynthia L can be contacted via phone (913) 682-2000.

Contact Information

Primary practice address
4101 S 4Th St Leavenworth KS 66048-5014
Phone: (913) 682-2000
Fax: (913) 758-4119
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1346066122 Kansas

Profile Details

NPI number 1427007269
LBN Legal business name Jackson, Cynthia L
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Jul 16th, 2007 - about 17 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.

Request for update

Popular Providers