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Sara Jackson
Medical Physician Assistant in Petersburg, Virginia
NPI 1295123602

Sara Jackson is a Medical Physician Assistant based in Ruckersville, VA and is specialized in Medical. Sara Jackson practices in Petersburg, VA. The NPI Number for Sara Jackson is 1295123602 and holds a License No. (Virginia).

The current practice location address for Sara Jackson is 200 Medical Park Blvd, Petersburg, VA and can be reached out via phone at 804-765-5000.

Location: 200 Medical Park Blvd, Petersburg, VA, 22968-3209
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295123602
Provider Name
Sara Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
200 Medical Park Blvd, Petersburg, VA, 22968-3209
Phone Number
804-765-5000
Fax Number
Provider Enumeration Date
01/07/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
200 Medical Park Blvd
City
Petersburg
State
Virginia
Zip
23805-9274
Phone Number
804-765-5000
Fax Number
person
Provider Business Mailing Address Details
Address
200 Medical Park Blvd
City
Petersburg
State
Virginia
Zip
23805-9274
Phone Number
804-765-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
()
Definition
Definition to come...
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