Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ALFRED B JACKSON III, PA-C, MBA
ActiveMR. ALFRED B JACKSON III, PA-C, MBA is a Surgical Physician Assistant healthcare provider located in WILMINGTON, Delaware. NPI 1417078908 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · WILMINGTON, DE
Registration Details
- NPI Number
- 1417078908
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 2, 2007 (19.390651984348 yrs)
- Last Updated
- Apr 6, 2010
- License
-
C5-0000216 (DE)
Practice Information
- Address
-
501 W 14TH STSUITE 4154WILMINGTON, DE, 198011013Browse DE providers · Browse ZIP 19801
- Phone
- 3024284654
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in WILMINGTON, DE
| Name | Credential | NPI |
|---|---|---|
| MISS LAURA L. OLIVER | PA-C | 1023088333 |
| NANCY LUXA-LEBLANC | PA | 1386611333 |
| CARLOS ORTEGA | PA-C | 1669484085 |
| COLLEEN DAVIS | P.A. | 1922109206 |
| MS. ANNE J. SHAY | PA-C | 1306975149 |
| LAURIE FOCACCI | PA-C, MPS | 1215054630 |
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.