Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LARRY D JACKSON, PA-C
Active Sole ProprietorLARRY D JACKSON, PA-C is a Physician Assistant healthcare provider located in YOUNGSTOWN, Ohio. NPI 1912928441 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · YOUNGSTOWN, OH
Registration Details
- NPI Number
- 1912928441
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 21, 2006 (20.033390999162 yrs)
- Last Updated
- Nov 20, 2014
- Licenses
-
50-000351 (OH)50000351 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
500 GYPSY LNYOUNGSTOWN, OH, 445041315Browse OH providers · Browse ZIP 44504
- Phone
- 3308841000
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Paramedic
Other Physician Assistant Providers in YOUNGSTOWN, OH
| Name | Credential | NPI |
|---|---|---|
| MR. KEVIN D WASKIN | P.A.C. | 1780687376 |
| CRAIG A MORRISON | PA-C | 1841296084 |
| MRS. JOCELYN RAE KIMMEL | PA C | 1497725188 |
| PRISCILLA E BRIGUGLIO | PA-C | 1518904440 |
| MRS. PAULA NOEL BRANT | PA-C | 1649297300 |
| RONALD BANN | PA | 1992726590 |
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.