Individual
BROOKE A JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2331 NEW HOLT RD, PADUCAH, KY 42001-7404
(270) 441-4777
(270) 441-4780
Mailing address
2331 NEW HOLT RD, PADUCAH, KY 42001-7404
(704) 411-4777
(270) 441-4780
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085 002103
IL
363A00000X
Physician Assistant
Primary
PA797
KY
Other
Enumeration date
02/05/2007
Last updated
07/21/2023
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