MR. Samuel Robert Jackson PA

  • NPI 1699274993
According to our database, the NPI number for MR. Samuel Robert Jackson PA is 1699274993 and activated since 6 years ago. MR. Samuel Robert Jackson PA is an individual provider who specializes in Physician Assistant, and the primary practice location is 1906 Belleview Ave Se, Roanoke, VA 24014. You can also contact MR. Samuel Robert Jackson PA via telephone number is (540) 981-7000. Provider NPI information was last updated on 02/02/2018.

Recently Active NPIs

Overview of MR. Samuel Robert Jackson PA

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 02/02/2018
  • Last updated: 02/02/2018

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 0110006058
  • License State: VA

Provider Mailing Address

  • Address: 719 Arbutus Ave Se
    Roanoke, VA 24014
  • Phone: 404-983-5673
  • Fax:

Provider Practice Location

  • Address: 1906 Belleview Ave Se
    Roanoke, VA 24014
  • Phone: 540-981-7000
  • Fax:

Scope of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 0110006058
  • License State: VA
  • Switch: Yes

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 MR. Samuel Robert Jackson PA?
  • A: The npi number for MR. Samuel Robert Jackson PA is 1699274993.
  • Q: What are MR. Samuel Robert Jackson PA's specialties?
  • A: MR. Samuel Robert Jackson PA's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for MR. Samuel Robert Jackson PA?
  • A: The medical license number for MR. Samuel Robert Jackson PA is 0110006058 and issued in VA in USA.
  • Q: Where is MR. Samuel Robert Jackson PA practice location?
  • A: MR. Samuel Robert Jackson PA is practicing at 1906 Belleview Ave Se, Roanoke, VA 24014.
  • Q: How to contact MR. Samuel Robert Jackson PA?
  • A: You can contact MR. Samuel Robert Jackson PA via 540-981-7000.
Medicare Specialty
View all Specialties
Addiction Medicine
Clinical Pharmacology
Family Medicine
Dental Assistant
Dental Public Health
Optometrist
Occupational Health
Sports Physician
Mental Health
Physical Therapist
Pharmacy Technician
Medical Technologist
Ph.D. Medical Genetics
Military Health Care Provider
Clinical Nurse Specialist
Family Health
Nurse Massage Therapist
Sports Medicine
© 2019 MDNPI.com - { Medical NPI }
Content provided by MDNPI.com mainly comes from Centers for Medicare & Medicaid Services (CMS) published data and the FOIA-disclosable NPPES health care provider data file.