person
Wayne Jeffery Jackson, PA
Medical Physician Assistant in Potsdam, New York
NPI 1750387023

Wayne Jeffery Jackson is a Medical Physician Assistant based in Potsdam, NY and is specialized in Medical. Wayne Jeffery Jackson practices in Potsdam, NY and has the professional credentials of PA. The NPI Number for Wayne Jeffery Jackson is 1750387023 and holds a License No. 004496 (New York).

The current practice location address for Wayne Jeffery Jackson is 50 Leroy St, Potsdam, NY and can be reached out via phone at 315-265-3300.

Location: 50 Leroy St, Potsdam, NY, 13676-1786
person
Provider Profile Details
NPI Number
1750387023
Provider Name
Wayne Jeffery Jackson
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
50 Leroy St, Potsdam, NY, 13676-1786
Phone Number
315-265-3300
Fax Number
Provider Enumeration Date
06/22/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
50 Leroy St
City
State
Zip
13676-1786
Phone Number
315-265-3300
Fax Number
person
Provider Business Mailing Address Details
Address
50 Leroy St
City
State
Zip
13676-1786
Phone Number
315-265-3300
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
004496 (New York)
Definition
Definition to come...
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