Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KRISTA JACKSON, PA
ActiveKRISTA JACKSON, PA is a Physician Assistant healthcare provider located in LAGRANGE, Indiana. NPI 1881435725 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LAGRANGE, IN
Registration Details
- NPI Number
- 1881435725
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 4, 2024 (2.2004736000938 yrs)
- Last Updated
- Jul 12, 2024
- License
-
10004448A (IN)
Practice Information
- Address
-
2500 N DETROIT STLAGRANGE, IN, 467611158Browse IN providers · Browse ZIP 46761
- Phone
- 2604632133
- Fax
- 2604633775
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in LAGRANGE, IN
| Name | Credential | NPI |
|---|---|---|
| MRS. CHANA NICOLE GOODIN | PA-C | 1932444692 |
| ELEONOR VANOVER | NP-C | 1801249834 |
| ANDREA BUDZON | PA-C | 1598238883 |
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.