person
Jackson D Gannon, PA-C
Surgical Physician Assistant in Omaha, Nebraska
NPI 1790357358

Jackson D Gannon is a Surgical Physician Assistant based in Omaha, NE and is specialized in Surgical. Jackson D Gannon practices in Omaha, NE and has the professional credentials of PA-C. The NPI Number for Jackson D Gannon is 1790357358 and holds a License No. 2632 (Nebraska).

The current practice location address for Jackson D Gannon is 8200 Dodge St, Omaha, NE and can be reached out via phone at 402-955-8600 and via fax at 402-955-5905.

Location: 8200 Dodge St, Omaha, NE, 68124-0607
person
Provider Profile Details
NPI Number
1790357358
Provider Name
Jackson D Gannon
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
8200 Dodge St, Omaha, NE, 68124-0607
Phone Number
402-955-8600
Fax Number
402-955-5905
Provider Enumeration Date
07/13/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8200 Dodge St
City
State
Zip
68114-4113
Phone Number
402-955-8600
Fax Number
402-955-5905
person
Provider Business Mailing Address Details
Address
8200 Dodge St
City
State
Zip
68114-4113
Phone Number
402-955-8600
Fax Number
402-955-5905
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
2632 (Nebraska)
Definition
Definition to come...
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