Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VICTOR JACKSON, PA-C
ActivePhysician Assistant · COUDERSPORT, PA
Registration Details
- NPI Number
- 1568644185
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 5, 2007 (18.426307536243 yrs)
- Last Updated
- Aug 27, 2009
- License
-
MA052972 (PA)
Practice Information
- Address
-
1001 E 2ND STCOUDERSPORT, PA, 169158161Browse PA providers · Browse ZIP 16915
- Phone
- 8142749300
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in COUDERSPORT, PA
| Name | Credential | NPI |
|---|---|---|
| KATHLEEN M KERR | PA | 1609868736 |
| CHRISTIAN O MCMONIGAL JR. | PA-C | 1740249085 |
| MS. EMILY A LYNCH | PA-C | 1649371576 |
| TODD HUSSON | PA-C | 1548300825 |
| MS. TIFFANY ANNE TAYLOR | PA-C | 1235362989 |
| ADRIANE YVONNE PIERCE | PA-C | 1457605354 |
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.