Physician Assistant Out-of-State Telehealth Provider

Mackenzie L Jacks

Ferndale, MI

Not currently licensed Null and void

Physician Assistant Out-of-State Telehealth Provider license TPPA154

License number
TPPA154
Status
Null and void
First licensed
May 14, 2021
Status since
May 6, 2024
Licensed by
Florida Department of Health (DOH)

About this license

Mackenzie L Jacks held a physician assistant out-of-state telehealth provider license from the Florida Department of Health (DOH), number TPPA154. It was first issued on May 14, 2021. The state lists its status as “Null and void”. The city of record is Ferndale, MI.