Jackson, Michelene

Jackson, Michelene is an individual health care provider with primary practice located at 3292 Peoria St , Aurora CO 80010-1517. 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, Michelene can be contacted via phone (303) 360-6276.

Contact Information

Primary practice address
3292 Peoria St Aurora CO 80010-1517
Phone: (303) 360-6276
Fax: (303) 467-5355
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.0000444 Colorado

Profile Details

NPI number 1679565394
LBN Legal business name Jackson, Michelene
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Apr 12th, 2016 - about 8 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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