Individual provider · Type 1 NPI

Heidi Jackson, P.A.

Medical Physician Assistant · Muskegon, MI

NPI number 1467486340 Active

Practice location

1700 Clinton St
Muskegon, MI 49442-5502

Call (231) 728-5692 Map

Fax (231) 728-4017

Mailing address

PO Box 1847
Muskegon, MI 49443-1847

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5601004005 (MI)

Medical Physician Assistant: Definition to come...

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About NPI 1467486340

Heidi Jackson, P.A.'s National Provider Identifier is 1467486340, issued on Jul 10, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Muskegon, MI. The record was last updated on Oct 8, 2015.