ILISSA D. JACKSON, PA-C
Physician Assistant in New York, NY

License number
New York PA9103627
Category
Nursing
Type
Physician Assistant
License number
New York 23-015052
Category
Nursing
Type
Physician Assistant
Address
Address
100 St Lenox Hl, New York, NY 10075
Phone
(516) 823-8010
(516) 823-8290 (Fax)
(954) 937-2579
National Provider ID: 1609838358
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

See more information about ILISSA D. JACKSON at radaris.com
Name
Address
Phone
Ilissa Jackson, age 51
9924 67Th Ave APT 4, Rego Park, NY 11374
(954) 722-1084

Professional information

Ilissa D Jackson Photo 1

Ilissa D Jackson, New York NY
Specialties:
Physician Assistant (PA)
Address:
100 E 77Th St, New York 10075
(516) 823-8010 (Phone), (516) 823-8290 (Fax)
Languages:
English

Ilissa D Jackson Photo 2

Ilissa D Jackson, New York NY
Specialties:
Physician Assistant
Address:
100 E 77Th St, New York, NY 10075

Physician Assistant licenses in New York










Other Doctors licenses in New York