Jackson, David Scott

Jackson, David Scott is an individual health care provider with primary practice located at 500 S Maple St , Waconia MN 55387-1791. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Jackson, David Scott can be contacted via phone (952) 442-2191.

Contact Information

Primary practice address
500 S Maple St Waconia MN 55387-1791
Phone: (952) 442-2191
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 145148 Minnesota

Profile Details

NPI number 1467165498
LBN Legal business name Jackson, David Scott
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2023
Last updated Jan 4th, 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.

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