DERRELL JACKSON, PA-C
Physician Assistant
Active
Individual
NPI: 1104072297
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | No | 0110002804 (VA) |
| Physician Assistant | 363A00000X | Yes | 0110002804 (VA) |
Frequently Asked Questions
NPI 1104072297 is the National Provider Identifier for DERRELL JACKSON, PA-C, a Physician Assistant provider located in Colonial Heights, VA. This NPI was enumerated on August 8, 2008.
DERRELL JACKSON, PA-C practices at 436 CLAREMONT CT, SUITE 100, Colonial Heights, VA 23834.
Quick Facts
- NPI
- 1104072297
- Type
- Individual
- Enumerated
- Aug 8, 2008
- Last Updated
- May 26, 2010
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