Individual
COURTNEY CARSON JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1633 RACE TRACK RD STE 101, JACKSONVILLE, FL 32259-3237
(904) 230-6988
Mailing address
2529 CEDAR TRACE DR E, JACKSONVILLE, FL 32246-9351
(904) 514-5750
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9116193
FL
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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