Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER MICHELLE JACKSON, PA-C
Active Sole ProprietorJENNIFER MICHELLE JACKSON, PA-C is a Physician Assistant healthcare provider located in LELAND, North Carolina. NPI 1114772308 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LELAND, NC
Registration Details
- NPI Number
- 1114772308
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 22, 2024 (2.1665083863502 yrs)
- Last Updated
- Feb 19, 2025
- License
-
0010-15151 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
144 POOLE RD STE 102LELAND, NC, 284519504Browse NC providers · Browse ZIP 28451
- Phone
- 9106418650
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in LELAND, NC
| Name | Credential | NPI |
|---|---|---|
| CRAIG JOHN HARE | PA | 1265406532 |
| MR. WILLIAM LEE FENSTERMACHER JR. | PA-C | 1043289028 |
| MRS. REBECCA L.EIGH HODGKISS | PA-C | 1750336673 |
| ERIC JASON CARTER | PA | 1184663866 |
| WILLIAM JOSEPH MALIVUK | PA-C | 1811916471 |
| DAWN M. SAMPSON | PA | 1871676494 |
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.