Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CRYSTAL L JACKSON, PA C
ActiveCRYSTAL L JACKSON, PA C is a Physician Assistant healthcare provider located in SOUTH ORANGE, New Jersey. NPI 1548298953 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SOUTH ORANGE, NJ
Registration Details
- NPI Number
- 1548298953
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 28, 2006 (20.100827610066 yrs)
- Last Updated
- Jun 24, 2010
- License
-
25MP00046700 (NJ)
Practice Information
- Address
-
61 1ST STSOUTH ORANGE, NJ, 070791900Browse NJ providers · Browse ZIP 07079
- Phone
- 9737628344
- Fax
- 9737621626
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in SOUTH ORANGE, NJ
| Name | Credential | NPI |
|---|---|---|
| JAVIER FERRANDIZ | PA-C | 1578947685 |
| KATHERYN GRAJALES | — | 1316317936 |
| JASMINE JOSEPH | PA-C | 1205397635 |
| SHYLA IMANI KISSOON | PA-C | 1790399483 |
| SHARON SHAJI | PA | 1548044340 |
| KELLY CARROLL | — | 1295693216 |
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.