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Jenny Jackson, PA-C
NPI 1386767440 · on the registry since 2007
Practice
- Address
- 243 Willis Ave
Mineola, NY 11501 - Phone
- (516) 742-1730
- Fax
- (516) 873-1641
- Clinicians at this address
- 2
Additional practice sites
- 200 Old Country Rd, Mineola, NY
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-12-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York