Individual
MRS. ELIZABETH ANNE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1830 BLAKE AVE, GLENWOOD SPRINGS, CO 81601-4275
(970) 945-8503
(970) 945-0253
Mailing address
1830 BLAKE AVE, GLENWOOD SPRINGS, CO 81601-4275
(970) 945-8503
(970) 945-0253
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4064
CO
363A00000X
Physician Assistant
5995
GA
Other
Enumeration date
10/21/2010
Last updated
02/01/2021
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