Individual
JEFFREY A JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
3703 OAKWOOD HILLS PKWY STE 100, EAU CLAIRE, WI 54701-4458
(534) 444-4562
(534) 444-4563
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
562
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APPR
—
WI
Enumeration date
09/02/2006
Last updated
07/10/2024
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