-- JOHN T JACKSON -- PA-C
Individual Provider (NPI-1)
Active
Physician Assistant, Medical
Provider Information
- NPI Number
1295792687- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 11 FRIENDSHIP ST, NEWPORT, RI, 028402271
- Phone
- (401) 845-1593
- Fax
- (401) 847-0650
Specialties & Taxonomies
Physician Assistant, Medical
Primary License: RI #PA00132