Krista Jackson, PA | |
2500 N Detroit St, Lagrange, IN 46761-1158 | |
(260) 463-2133 | |
(260) 463-3775 |
Full Name | Krista Jackson |
---|---|
Gender | Female |
Speciality | Physician Assistant |
Location | 2500 N Detroit St, Lagrange, Indiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881435725 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 10004448A (Indiana) | Primary |
Mailing Address | Practice Location Address |
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Krista Jackson, PA Po Box 236, Lagrange, IN 46761-0236 Ph: (260) 463-2133 | Krista Jackson, PA 2500 N Detroit St, Lagrange, IN 46761-1158 Ph: (260) 463-2133 |
Andrea Budzon, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 N Detroit St, Lagrange, IN 46761 Phone: 260-463-2133 Fax: 260-463-3775 | |
Eleonor Vanover, NP-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 N Detroit St, Lagrange, IN 46761 Phone: 260-463-2133 Fax: 260-463-3775 | |
Mrs. Chana Nicole Goodin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 N Detroit St, Lagrange, IN 46761 Phone: 260-463-2133 Fax: 260-463-3775 |