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Chad T Jackson, PA-C
Medical Physician Assistant in Coudersport, Pennsylvania
NPI 1467773481

Chad T Jackson is a Medical Physician Assistant based in Coudersport, PA and is specialized in Medical. Chad T Jackson practices in Coudersport, PA and has the professional credentials of PA-C. The NPI Number for Chad T Jackson is 1467773481 and holds a License No. MA054372 (Pennsylvania).

The current practice location address for Chad T Jackson is 1001 E 2Nd St, Coudersport, PA and can be reached out via phone at 814-274-0900.

Location: 1001 E 2Nd St, Coudersport, PA, 16915-8161
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467773481
Provider Name
Chad T Jackson
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1001 E 2Nd St, Coudersport, PA, 16915-8161
Phone Number
814-274-0900
Fax Number
Provider Enumeration Date
06/14/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1001 E 2Nd St
City
Coudersport
State
Pennsylvania
Zip
16915-8161
Phone Number
814-274-0900
Fax Number
person
Provider Business Mailing Address Details
Address
1001 E 2Nd St
City
Coudersport
State
Pennsylvania
Zip
16915-8161
Phone Number
814-274-0900
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
MA054372 (Pennsylvania)
Definition
Definition to come...
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