NPI 1912363458
Jason Jackson, CPT
Practice location
- Address
- 4 E Weald Ave, Bear, DE 19701-1664
- Phone
- (302) 230-1271
- Fax
- (302) 838-7034
- Mailing address
- 19 W 24th St, Wilmington, DE 19802-4129
Registered specialties
Phlebotomy Technician
Primary
Registry record
- NPI
- 1912363458
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 13 Jan 2016
- Record last updated
- 13 Jan 2016
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.