| NPI | 1497118913 |
|---|---|
| Former Name | HANNAH N JACKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KS 15-02100) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AR PA-668) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2023-02-28 |