Individual
MRS. JAMIE S JACKLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
104 ENDICOTT ST STE LL00, DANVERS, MA 01923-3623
(297) 888-2690
Mailing address
104 ENDICOTT ST STE LL00, DANVERS, MA 01923-3623
(978) 882-6902
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2192
MA
Other
Enumeration date
01/27/2007
Last updated
02/05/2019
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