Individual
KAREN T JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1880 KENNETH RD STE 3, YORK, PA 17408-6344
(717) 779-2612
(717) 779-0019
Mailing address
1880 KENNETH RD STE 3, YORK, PA 17408-6344
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110005884
VA
363A00000X
Physician Assistant
Primary
MA061162
PA
Other
Enumeration date
12/12/2017
Last updated
02/04/2020
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