Individual provider · Type 1 NPI

Carly Anne Jackson, PA-C

Physician Assistant · Rockford, IL

NPI number 1053696971 Active

Practice location

324 Roxbury Rd
Rockford, IL 61107-5090

Call (815) 398-9491 Map

Fax (815) 381-7333

Mailing address

Box 78534
Milwaukee, WI 53278

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1053696971

Carly Anne Jackson, PA-C's National Provider Identifier is 1053696971, issued on Oct 12, 2011. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Rockford, IL. The record was last updated on Jun 5, 2014.