Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHAD T JACKSON, PA-C
ActiveMedical Physician Assistant · COUDERSPORT, PA
Registration Details
- NPI Number
- 1467773481
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 14, 2010 (15.903317642289 yrs)
- Last Updated
- Apr 1, 2021
- License
-
MA054372 (PA)
Practice Information
- Address
-
1001 E 2ND STCOUDERSPORT, PA, 169158161Browse PA providers · Browse ZIP 16915
- Phone
- 8142740900
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in COUDERSPORT, PA
| Name | Credential | NPI |
|---|---|---|
| MRS. CRYSTAL L FOWLER | PA-C | 1275634909 |
| MICHAEL W WILT | PA | 1598856114 |
| LEO SILLICK | PA-C | 1619013083 |
| MANDY COLLINS SILLICK | PA-C | 1033255427 |
| MRS. VICTORIA LYNN SEITZINGER | PA-C | 1952429763 |
| MRS. KORIN MARIE TRUMPIE | PA-C | 1053646919 |
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.