Individual
KRYSTAL M JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
8550 CUTHILLS CIR, LINCOLN, NE 68526-9474
(024) 476-6060
(402) 476-6809
Mailing address
812 3RD ST, MILFORD, NE 68405-9319
(620) 253-4771
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1549
NE
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/06/2006
Last updated
10/31/2024
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