Jackson, Dana A

Jackson, Dana A is an individual health care provider with primary practice located at 1514 Ks Hwy 96 , Great Bend KS 67530. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Jackson, Dana A can be contacted via phone (402) 770-8575.

Contact Information

Primary practice address
1514 Ks Hwy 96 Great Bend KS 67530
Phone: (402) 770-8575
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2366 Nebraska
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 15-02445 Kansas

Profile Details

NPI number 1235692112
LBN Legal business name Jackson, Dana A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2019
Last updated Oct 17th, 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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