Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRUCE L JACKSON, P.A.
ActiveMR. BRUCE L JACKSON, P.A. is a Medical Physician Assistant healthcare provider located in APPLE VALLEY, California. NPI 1124072087 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · APPLE VALLEY, CA
Registration Details
- NPI Number
- 1124072087
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 22, 2006 (20.268758889716 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PA14185 (CA)
Practice Information
- Address
-
15863 KASOTA RDAPPLE VALLEY, CA, 923074507Browse CA providers · Browse ZIP 92307
- Phone
- 7609481454
- Fax
- 7609486100
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in APPLE VALLEY, CA
| Name | Credential | NPI |
|---|---|---|
| MR. MICHAEL S ERSKINE | PA-C | 1053369009 |
| DR. WILLIAM JOSEPH WILSON | PA-C | 1265469712 |
| MARSHALL ROY KOON | PA-C | 1982939302 |
| MR. ARSHAD AZIZ SAMAD | PA-C | 1831424506 |
| TAIT NIELSON CHRISTENSEN | PA-C | 1861775611 |
| MS. MICHELLE A. OROPEZA | PA-C | 1275979742 |
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.