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Linda Sue Jackson, PA-C
Surgical Physician Assistant in Addison, Texas
NPI 1407864119

Linda Sue Jackson is a Surgical Physician Assistant based in Addison, TX and is specialized in Surgical. Linda Sue Jackson practices in Addison, TX and has the professional credentials of PA-C. The NPI Number for Linda Sue Jackson is 1407864119 and holds a License No. 02046 (Texas).

The current practice location address for Linda Sue Jackson is 17051 Dallas Pkwy, Addison, TX and can be reached out via phone at 214-370-3535 and via fax at 214-370-0004.

Location: 17051 Dallas Pkwy, Addison, TX, 75001-7109
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407864119
Provider Name
Linda Sue Jackson
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
17051 Dallas Pkwy, Addison, TX, 75001-7109
Phone Number
214-370-3535
Fax Number
214-370-0004
Provider Enumeration Date
08/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209277701 05 TX
8Y9248 01 TX BCBSTX
institution
Provider Business Practice Location Address Details
Address
17051 Dallas Pkwy
City
Addison
State
Texas
Zip
75001-7109
Phone Number
214-370-3535
Fax Number
214-370-0004
person
Provider Business Mailing Address Details
Address
17051 Dallas Pkwy
City
Addison
State
Texas
Zip
75001-7109
Phone Number
214-370-3535
Fax Number
214-370-0004
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
02046 (Texas)
Definition
Definition to come...
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