Individual provider · Type 1 NPI
Susan Elaine Jackson, RPA-C
Medical Physician Assistant · Lyons, NY
NPI number
1649557208
Active
Practice location
12 Leach Rd
Lyons, NY 14489-9732
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 015280 (NY) |
Medical Physician Assistant: Definition to come...
5 other providers at this address
- Annemarie Ranger Hansen, DOFamily Medicine Physician Lyons, NY NPI 1174215669
- Brandon Towey, MDFamily Medicine Physician Lyons, NY NPI 1174107080
- Dong Gi Hong, MDInternal Medicine Physician Lyons, NY NPI 1093727612
- Marino D. Tavarez, MDFamily Medicine Physician Lyons, NY NPI 1518049865
- Sara WickPhysician Assistant Lyons, NY NPI 1942017397
About NPI 1649557208
Susan Elaine Jackson, RPA-C's National Provider Identifier is 1649557208, issued on Nov 10, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lyons, NY. The record was last updated on Nov 10, 2011.