Jackson, Sara

Jackson, Sara is an individual health care provider with primary practice located at 200 Medical Park Blvd , Petersburg VA 23805-9274. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Jackson, Sara can be contacted via phone (804) 765-5000.

Contact Information

Primary practice address
200 Medical Park Blvd Petersburg VA 23805-9274
Phone: (804) 765-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1295123602
LBN Legal business name Jackson, Sara
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2015
Last updated Jan 7th, 2015 - about 9 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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