Jackson, Katrina Marie

Jackson, Katrina Marie is an individual health care provider with primary practice located at 2911 S Shore Blvd Ste 190 , League City TX 77573-3919. 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, Katrina Marie can be contacted via phone (281) 538-8188.

Contact Information

Primary practice address
2911 S Shore Blvd Ste 190 League City TX 77573-3919
Phone: (281) 538-8188
Fax: (281) 538-8189
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA030501 Texas

Profile Details

NPI number 1073735445
LBN Legal business name Jackson, Katrina Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Oct 30th, 2009 - about 15 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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