Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKSON DEEN, PA
Active Sole ProprietorJACKSON DEEN, PA is a Physician Assistant healthcare provider located in GLOUCESTER, Virginia. NPI 1154891174 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · GLOUCESTER, VA
Registration Details
- NPI Number
- 1154891174
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 3, 2018 (7.6639434517993 yrs)
- Last Updated
- Dec 3, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
7519 HOSPITAL DRGLOUCESTER, VA, 230614178Browse VA providers · Browse ZIP 23061
- Phone
- 8046938899
- Fax
- 8046938810
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in GLOUCESTER, VA
| Name | Credential | NPI |
|---|---|---|
| MRS. RACHEL KATHRYN MARIE MIZELL ERTEL | PA-C | 1003883687 |
| JOHN COCHRAN | P.A.-C | 1649297193 |
| JOHN ALEXANDER PARLETT | PA | 1699049981 |
| SARAH HILLIER | PA | 1568894830 |
| AASHNA FAIZY | PA-C | 1154882587 |
| HANNAH MARIAH PEARSON | PA-S | 1841751278 |
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.