Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AUTUMN A JACKSON, MHS, PA-C
ActiveAUTUMN A JACKSON, MHS, PA-C is a Medical Physician Assistant healthcare provider located in FALLS CHURCH, Virginia. NPI 1689629099 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · FALLS CHURCH, VA
Registration Details
- NPI Number
- 1689629099
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 23, 2006 (20.200072497545 yrs)
- Last Updated
- Jul 11, 2011
- Licenses
-
C0003077 (MD)0110002073 (VA)
Practice Information
- Address
-
3300 GALLOWS RDINOVA FAIRFAX EDFALLS CHURCH, VA, 220423307Browse VA providers · Browse ZIP 22042
- Phone
- 7037762690
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in FALLS CHURCH, VA
| Name | Credential | NPI |
|---|---|---|
| MR. BRIAN PAKYAN LAM | PA-C | 1467563080 |
| DANBI MALLIN | PA | 1760571889 |
| MR. SCOTT SHEPARD | — | 1174687073 |
| MRS. MARCIA E GUARNIERE | PA-C | 1134245681 |
| SARA LINDSAY GILLAM | P.A. | 1598947111 |
| MRS. ANA MARIA MOYA | PA-C | 1568690550 |
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.