Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GINA DIANE JACKSON, PA-C
ActiveGINA DIANE JACKSON, PA-C is a Physician Assistant healthcare provider located in ALEXANDRIA, Virginia. NPI 1265785786 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ALEXANDRIA, VA
Registration Details
- NPI Number
- 1265785786
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 22, 2012 (13.794353655707 yrs)
- Last Updated
- Jul 8, 2021
- License
-
0110-004038 (VA)
Practice Information
- Address
-
8109 TIS WELL DRIVESUITE 511ALEXANDRIA, VA, 22306Browse VA providers · Browse ZIP 22306
- Phone
- 7037999500
- Fax
- 7037999502
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in ALEXANDRIA, VA
| Name | Credential | NPI |
|---|---|---|
| MR. KEITH WESLEY KETTELL | PA-C | 1417948670 |
| ROSE E FRAZIER | PAC | 1750368601 |
| CHERYL P ATHEARN | PA | 1366401705 |
| LYNETTE R SANDOVAL | PA | 1679507503 |
| JUSTINE D YOUNG | PA | 1326060344 |
| DONNA LYNN LACKORE SWANSON | PA-C | 1699789859 |
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.