Jackson, Patricia A

Jackson, Patricia A is an individual health care provider with primary practice located at 133 Littleton Rd Ste 101 , Westford MA 01886-3198. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Jackson, Patricia A can be contacted via phone (978) 577-0437.

Contact Information

Primary practice address
133 Littleton Rd Ste 101 Westford MA 01886-3198
Phone: (978) 577-0437
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 229632 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 229632 Massachusetts

Profile Details

NPI number 1053300855
LBN Legal business name Jackson, Patricia A
Credentials RN, MSN, PPCNP-BC, P
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Jun 1st, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1053300855 NPPES
Massachusetts MEDICAID 020860

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