Individual
TARYN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
825 CENTENNIAL DR, CHADRON, NE 69337-9400
(308) 432-4441
Mailing address
420 LAKE ST, CHADRON, NE 69337-2517
(970) 630-2236
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3279
NE
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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