Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CLAUDETTE F JACKSON, PAC
ActivePhysician Assistant · FORT MYERS, FL
Registration Details
- NPI Number
- 1962494450
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 19, 2005 (20.691564998139 yrs)
- Last Updated
- Apr 18, 2022
- Licenses
-
PA9109552 (FL)PA902 (KY)
Practice Information
- Address
-
13782 PLANTATION RD STE 201FORT MYERS, FL, 339124462Browse FL providers · Browse ZIP 33912
- Phone
- 2393431100
- Fax
- 2393431101
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in FORT MYERS, FL
| Name | Credential | NPI |
|---|---|---|
| MATTHEW EDWARD MEAGHER | PAC | 1730185356 |
| MR. JARED P. REISS | PA-C | 1558360206 |
| PASQUALE JOHN DEFIORE | PA-C | 1063413458 |
| MS. KRISTIN J OVADAL | PAC | 1063407930 |
| BARBARA J MAGGIANI | PA-C | 1942282546 |
| ANTHONY RICHARD PINE JR. | P.A. | 1447234109 |
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.