TIMOTHY JACKSON, PA-C
Physician Assistant
Active
Individual
NPI: 1982623625
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 0110002037 (VA) |
Frequently Asked Questions
NPI 1982623625 is the National Provider Identifier for TIMOTHY JACKSON, PA-C, a Physician Assistant provider located in Virginia Beach, VA. This NPI was enumerated on July 19, 2006.
TIMOTHY JACKSON, PA-C practices at 5249 PROVIDENCE RD, Virginia Beach, VA 23464.
Quick Facts
- NPI
- 1982623625
- Type
- Individual
- Enumerated
- Jul 19, 2006
- Last Updated
- Oct 14, 2025
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