Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK JACKSON, P.A.
ActiveMARK JACKSON, P.A. is a Physician Assistant healthcare provider located in PIKEVILLE, Kentucky. NPI 1205815982 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · PIKEVILLE, KY
Registration Details
- NPI Number
- 1205815982
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 11, 2006 (20.555885798559 yrs)
- Last Updated
- Jun 8, 2022
- License
-
PA290 (KY)
Practice Information
- Address
-
911 BYPASS RD BLDG APIKEVILLE, KY, 415011689Browse KY providers · Browse ZIP 41501
- Phone
- 6064302206
- Fax
- 6062187506
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in PIKEVILLE, KY
| Name | Credential | NPI |
|---|---|---|
| BILLIE BARTLEY | PAC | 1184688855 |
| MRS. ANDREA P BLANKENSHIP | PA-C | 1659322337 |
| DANITA THOMPSON | PA-C | 1730220203 |
| JULIE R. CLEMONS | PA-C | 1932233830 |
| SHELEBRA KINNEY BARTLEY | PA-C | 1790934347 |
| AMANDA NICOLE LAFERTY | D.C. | 1932333721 |
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.