Randy D Jackson PA-C

  • NPI 1508825357
According to our database, the NPI number for Randy D Jackson PA-C is 1508825357 and activated since 18 years ago. Randy D Jackson PA-C is an individual provider who specializes in Physician Assistant, and the primary practice location is 200 Somerset St, Millinocket, ME 04462. You can also contact Randy D Jackson PA-C via telephone number is (207) 723-5173. Provider NPI information was last updated on 02/11/2013.

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Overview of Randy D Jackson PA-C

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 03/21/2006
  • Last updated: 02/11/2013

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: PA-028
  • License State: ME

Provider Mailing Address

  • Address: 200 Somerset St
    Millinocket, ME 04462
  • Phone: 207-723-5173
  • Fax: 207-723-3040

Provider Practice Location

  • Address: 200 Somerset St
    Suite 2
    Millinocket, ME 04462
  • Phone: 207-723-5173
  • Fax: 207-723-3040

Scope of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: PA-028
  • License State: ME
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 079032
  • Identifier Type: Other
  • Identifier State: ME
  • Issuer: ANTHEM

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 Randy D Jackson PA-C?
  • A: The npi number for Randy D Jackson PA-C is 1508825357.
  • Q: What are Randy D Jackson PA-C's specialties?
  • A: Randy D Jackson PA-C's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for Randy D Jackson PA-C?
  • A: The medical license number for Randy D Jackson PA-C is PA-028 and issued in ME in USA.
  • Q: Where is Randy D Jackson PA-C practice location?
  • A: Randy D Jackson PA-C is practicing at 200 Somerset St, Millinocket, ME 04462.
  • Q: How to contact Randy D Jackson PA-C?
  • A: You can contact Randy D Jackson PA-C via 207-723-5173.