MARK JACKSON

PIKEVILLE, KY
NPI1205815982
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: KY  PA290)
Enumeration Date2006-01-11
Last Update Date2022-06-08
Business Address
MARK JACKSON P.A.
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501-1689
Phone number: 606-430-2206
Mailing Address
MARK JACKSON P.A.
PO BOX 432
PIKEVILLE, KY 41502-0432
Phone number: 606-430-2206
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