MS. ELIZABETH MARIE JACKSON PAC NPI 1295834893

NPI Information

NPI: 1295834893
Provider Name: MS. ELIZABETH MARIE JACKSON, PAC
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
515 WEKIVA COMMONS CIRCLE
APOPKA, FL
ZIP 32712
Phone: (407) 464-9516
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MS. Elizabeth Marie Jackson, PAC is a medical physician assistant in Apopka, FL. MS. Elizabeth Marie Jackson, PAC NPI is 1295834893. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

515 WEKIVA COMMONS CIRCLE
APOPKA, FL
ZIP 32712
Phone: (407) 464-9516
Fax: (407) 464-9519

The enumeration date for this NPI number is 9/21/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA9103001	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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