Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATIE ELIZABETH JACKSON, PA-C
ActiveKATIE ELIZABETH JACKSON, PA-C is a Physician Assistant healthcare provider located in ELDORADO, Illinois. NPI 1194077156 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ELDORADO, IL
Registration Details
- NPI Number
- 1194077156
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 15, 2012 (13.7946871479 yrs)
- Last Updated
- Dec 3, 2013
- License
-
085004431 (IL)
Practice Information
- Address
-
1306 MAPLE STREETFERRELL HOSPITAL FAMILY PRACTICEELDORADO, IL, 629301666Browse IL providers · Browse ZIP 62930
- Phone
- 6182733361
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in ELDORADO, IL
| Name | Credential | NPI |
|---|---|---|
| GRETCHEN L SUTTON | P.A. | 1063419695 |
| MELISSA J GAUTHIER | PA C | 1902861164 |
| MR. CURTIS DUANE MORRIS | PA-C | 1154476273 |
| MRS. LINDA REDICK | P.A. | 1922259993 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.