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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARYLEE JACKSON, PA

Active

MARYLEE JACKSON, PA is a Physician Assistant healthcare provider located in GREENVILLE, South Carolina. NPI 1215978044 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · GREENVILLE, SC

Registration Details

NPI Number
1215978044
Provider Type
Individual
Gender
Female
NPI Issued
Jun 10, 2006 (20.18726171816 yrs)
Last Updated
Apr 1, 2016
Licenses
8826 (SC)
509 (SC)

Practice Information

Address
3 SAINT FRANCIS DR STE 360
GREENVILLE, SC, 296013972
Browse SC providers · Browse ZIP 29601
Phone
8642324349
Fax
8642338103
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in GREENVILLE, SC

Name Credential NPI
CHRISTINE POWERS KOOP PA-C 1598761082
KATHRYN M. MCFADDEN PA-C 1528050101
AUREL KEEW PA 1457334609
SHEA C HARRELSON PA 1306822325
ALLISON CHRISTY SIMON PA 1366428385
KRISTI TOOTHMAN CARLSON PA 1265418297
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.