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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MALLORY JACKSON, PA-C

Active

MALLORY JACKSON, PA-C is a Physician Assistant healthcare provider located in LEWISTOWN, Pennsylvania. NPI 1871363556 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · LEWISTOWN, PA

Registration Details

NPI Number
1871363556
Provider Type
Individual
Gender
Female
NPI Issued
Jan 4, 2024 (2.5913959819824 yrs)
Last Updated
Jul 19, 2024
License
MA065306 (PA)

Practice Information

Address
6 N DORCAS ST
LEWISTOWN, PA, 170441737
Browse PA providers · Browse ZIP 17044
Phone
7179539571
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in LEWISTOWN, PA

Name Credential NPI
MR. ANDREW E. OJA PA-C 1275596116
SUZETTE M SHEARS PA-C 1447287321
PAMELA KAY CLINARD PA-C 1649389412
RYAN ANDREWS 1750502704
TASHA L DODD PA-C 1649431297
MS. JENNIFER A TAYLOR PA-C 1902030984
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.