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Search › Maine › 363A00000X

Randy Jackson, PA-C

NPI 1508825357 · on the registry since 2006

Practice

Address
200 Somerset St
Suite 2
Millinocket, ME 04462
Phone
(207) 723-5173
Fax
(207) 723-3040
Organisation at this address
Millinocket Regional Hospital
Millinocket Regional Hospital
Millinocket Regional Hospital
Millinocket Regional Hospital
Millinocket Regional Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
19

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
ME
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-02-11

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 Maine