Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. PHYLLIS E JACKSON, PA-C
ActiveMS. PHYLLIS E JACKSON, PA-C is a Physician Assistant healthcare provider located in GLEN MILLS, Pennsylvania. NPI 1043649627 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · GLEN MILLS, PA
Registration Details
- NPI Number
- 1043649627
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 5, 2013 (12.812495112587 yrs)
- Last Updated
- May 6, 2014
- License
-
MA000510L (PA)
Practice Information
- Address
-
300 EVERGREEN DRSUITE 150GLEN MILLS, PA, 193421059Browse PA providers · Browse ZIP 19342
- Phone
- 6108741184
- Fax
- 6108744258
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in GLEN MILLS, PA
| Name | Credential | NPI |
|---|---|---|
| ERIN M DOHERTY | PAC | 1780657080 |
| JENNY LUCIA DEPADUA | PA | 1710041975 |
| ARNEE MILES | PA-C | 1194057398 |
| MRS. THERESA G KUENY | PA-C | 1255607677 |
| MS. JACLYN MARIE DEMATTEIS | PA-C | 1699101055 |
| JOANNA MCCLELLAND | PA-C | 1164884581 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.