Organization · Type 2 NPI
Jackson Primary Care LLC
Primary Care Clinic/Center · Jackson, MO
NPI number
1790213676
Active
Practice location
2685 E Main St Ste A
Jackson, MO 63755-2474
Fax (573) 204-1480
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
| Rural Health Clinic/Center | 261QR1300X | 106442 (MO) |
Primary Care Clinic/Center: Definition to come...
About NPI 1790213676
Jackson Primary Care LLC's National Provider Identifier is 1790213676, issued on May 23, 2017. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Jackson, MO. The record was last updated on May 25, 2017.