Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RANDY D JACKSON, PA-C
ActiveRANDY D JACKSON, PA-C is a Physician Assistant healthcare provider located in MILLINOCKET, Maine. NPI 1508825357 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MILLINOCKET, ME
Registration Details
- NPI Number
- 1508825357
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 21, 2006 (20.257202777479 yrs)
- Last Updated
- Feb 11, 2013
- License
-
PA-028 (ME)
Practice Information
- Address
-
200 SOMERSET STSUITE 2MILLINOCKET, ME, 044621258Browse ME providers · Browse ZIP 04462
- Phone
- 2077235173
- Fax
- 2077233040
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in MILLINOCKET, ME
| Name | Credential | NPI |
|---|---|---|
| MR. DOUGLAS RHODA | PAC | 1760494603 |
| MR. ANDRE PARENT | PAC | 1457363301 |
| MR. DAVID P JOHNSON | PA | 1053550350 |
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.