SHANNON JACKSON, PA-C

PA-C

Physician Assistant

NPI: 1134616584IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

10005009A(IN)5601011128(MI)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2018

Contact & Hours

Address: 611 E DOUGLAS RD STE 203
MISHAWAKA, IN 46545
Phone: (574) 335-6640

Quick Facts

NPI: 1134616584
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 2
Locations: 1
Years in Practice: 8

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