NPI 1881733905 · live from the CMS NPI Registry
Jackson Surgical Assisting Services LLC.
Registered Nurse, Registered Nurse First Assistant in Windham, ME. National Provider Identifier 1881733905, active.
NPI record
| NPI | 1881733905 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Registered Nurse First Assistant 163WR0006X |
| Practice location | 19 Curtis Dr, Windham, ME 04062 |
| Practice phone | 207-318-4072 |
| Enumerated | February 5, 2007 |
| Last updated | June 16, 2008 |
| Authorized official | Michael Jackson, Owner - Executor |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Registered Nurse First Assistant primary | 163WR0006X | 048931 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.