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

JOHN T JACKSON, PA-C

Active

JOHN T JACKSON, PA-C is a Medical Physician Assistant healthcare provider located in NEWPORT, Rhode Island. NPI 1295792687 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · NEWPORT, RI

Registration Details

NPI Number
1295792687
Provider Type
Individual
Gender
Male
NPI Issued
Apr 28, 2006 (20.258860827622 yrs)
Last Updated
Apr 10, 2009
License
PA00132 (RI)

Practice Information

Address
11 FRIENDSHIP ST
NEWPORT, RI, 028402271
Browse RI providers · Browse ZIP 02840
Phone
4018451593
Fax
4018470650
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in NEWPORT, RI

Name Credential NPI
MS. KELLEY A NEWMAN BS 1295709400
TIMOTHY J THOMPSON PA 1174548101
MICHAEL ANTHONY MCGOURTY PA-C 1275601056
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.