Derrell Glenn Jackson PA-C
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Overview of Derrell Glenn Jackson PA-C
- NPI number: 1598434045
- Provider type: Individual
- Gender: Male
- Active since: 08/08/2008
- Last updated: 05/26/2010
Primary Scrop of Practice
- Taxonomy Code: 363A00000X
- Specialty: Physician Assistant
- License Number: 0110002804
- License State: VA
Provider Mailing Address
- Address: 205 Misty Ridge LnSuffolk, VA 23434
- Phone: 757-406-7328
- Fax:
Provider Practice Location
- Address: 436 Claremont CtSuite 100Colonial Heights, VA 23834
- Phone: 804-526-2121
- Fax: 804-520-2617
Scope of Practice
- Taxonomy Code: 363A00000X
- Specialty: Physician Assistant
- License Number: 0110002804
- License State: VA
- Switch: Yes
Legacy Identifiers
- Provider Identifier: 1104072297
- Identifier Type: Medicare Oscar/Certification
- Identifier State: VA
- Issuer:
Question & Answers
- Q: What is the npi number?
- A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
- Q: What are health care provider taxonomy codes?
- A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
- Q: What is the npi number for Derrell Glenn Jackson PA-C?
- A: The npi number for Derrell Glenn Jackson PA-C is 1104072297.
- Q: What are Derrell Glenn Jackson PA-C's specialties?
- A: Derrell Glenn Jackson PA-C's specialties are Physician Assistant and different specialities.
- Q: What is the medical license for Derrell Glenn Jackson PA-C?
- A: The medical license number for Derrell Glenn Jackson PA-C is 0110002804 and issued in VA in USA.
- Q: Where is Derrell Glenn Jackson PA-C practice location?
- A: Derrell Glenn Jackson PA-C is practicing at 436 Claremont Ct, Colonial Heights, VA 23834.
- Q: How to contact Derrell Glenn Jackson PA-C?
- A: You can contact Derrell Glenn Jackson PA-C via 804-526-2121.