Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MONICA D JACKSON, PA
ActiveMONICA D JACKSON, PA is a Physician Assistant healthcare provider located in PALM BAY, Florida. NPI 1548583719 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · PALM BAY, FL
Registration Details
- NPI Number
- 1548583719
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 2, 2010 (16.43282614967 yrs)
- Last Updated
- Apr 25, 2022
- Licenses
-
005585 (GA)PA9113041 (FL)
Practice Information
- Address
-
5270 BABCOCK ST NE STE 1PALM BAY, FL, 329054616Browse FL providers · Browse ZIP 32905
- Phone
- 3217225959
- Fax
- 3217225960
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in PALM BAY, FL
| Name | Credential | NPI |
|---|---|---|
| MARIA L FORTINGTON | PAC | 1265428288 |
| MS. JEANETTE MARIE GLUCK | PA-C | 1023072170 |
| BERNIE KAIMAN | PA-C | 1932114477 |
| KAREN PAZ | P.A. | 1023254240 |
| MR. PAUL DOMINIC LOPREATO | P.A. | 1447499082 |
| MR. MARTIN ANTONY FIDELIA | PA | 1427370469 |
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.