Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MICAH ROY JACKSON, PA
ActiveMR. MICAH ROY JACKSON, PA is a Physician Assistant healthcare provider located in TYLER, Texas. NPI 1558665703 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · TYLER, TX
Registration Details
- NPI Number
- 1558665703
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 3, 2011 (15.592346222557 yrs)
- Last Updated
- Apr 19, 2016
- License
-
PA06963 (TX)
Practice Information
- Address
-
1814 ROSELAND BLVDSUITE 200TYLER, TX, 757014234Browse TX providers · Browse ZIP 75701
- Phone
- 9035926000
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in TYLER, TX
| Name | Credential | NPI |
|---|---|---|
| FRANCES L. ELIZONDO | PA | 1245233550 |
| MRS. CHRISTINA ANN TINKLER | P.A. | 1073515169 |
| RENE LUNDAY MCCARTY | PA | 1194722231 |
| MR. MAYNARD SHAWN GONTER | PA-C | 1396737391 |
| LINDY M DOLAN | PA-C | 1124010129 |
| MATTHEW M HAND | PAC | 1992797799 |
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.