CRYSTAL L JACKSON

SOUTH ORANGE, NJ
NPI1548298953
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NJ  25MP00046700)
Enumeration Date2006-06-28
Last Update Date2010-06-24
Business Address
-- CRYSTAL L JACKSON PA C
61 1ST ST
SOUTH ORANGE, NJ 07079-1900
Phone number: 973-762-8344
Mailing Address
-- CRYSTAL L JACKSON PA C
61 1ST ST
SOUTH ORANGE, NJ 07079-1900
Phone number: 913-762-8344