NPI 1043551401

Kristina M Jackowiak, PAC

Practitioner Physician Assistant Goshen, IN

Practice location

Address: 2824 Elkhart Rd, Goshen, IN 46526-1014
Phone: (574) 535-1700

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1043551401
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Mar 2013
Record last updated: 21 Apr 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.