Jackson, Pamela

Jackson, Pamela is an individual health care provider with primary practice located at 5 Grace Church St , Port Chester NY 10573-4911. 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, Pamela can be contacted via phone (914) 937-8899.

Contact Information

Primary practice address
5 Grace Church St Port Chester NY 10573-4911
Phone: (914) 937-8899
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X New York

Profile Details

NPI number 1083171631
LBN Legal business name Jackson, Pamela
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2019
Last updated May 21st, 2019 - about 5 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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