Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHRISTOPHER H JACKSON, PA-C
ActiveCHRISTOPHER H JACKSON, PA-C is a Physician Assistant healthcare provider located in INDIAN LAKE, New York. NPI 1063524155 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · INDIAN LAKE, NY
Registration Details
- NPI Number
- 1063524155
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 31, 2006 (19.946414120734 yrs)
- Last Updated
- Dec 29, 2025
- License
-
006846 (NY)
Practice Information
- Address
-
6356 NYS ROUTE 30INDIAN LAKE, NY, 128422021Browse NY providers · Browse ZIP 12842
- Phone
- 5186485707
- Fax
- 5186486160
- Primary Specialty
-
Physician Assistant
363A00000X
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.