John T Jackson, PA-C
Physician Assistant, Medical in Newport, Rhode Island
1295792687- Practice location
- 11 Friendship St, Newport, RI 02840-2271
- Phone
- 401-845-1593
- Fax
- 401-847-0650
- Last updated
- April 10, 2009
John T Jackson is a Physician Assistant, Medical based in Newport, RI. John T Jackson practices in Newport, RI and has the professional credentials of PA-C. The NPI Number for John T Jackson is 1295792687 and holds a License No. PA00132 (RI). The current practice location address for John T Jackson is 11 Friendship St, Newport, RI 02840-2271 and can be reached out via phone at 401-845-1593 and via fax at 401-847-0650.
Provider Profile Details
- NPI Number
- 1295792687
- Provider Name
- John T Jackson
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 11 Friendship St, Newport, RI 02840-2271
- Phone Number
- 401-845-1593
- Fax Number
- 401-847-0650
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 28, 2006
- Last Update Date
- April 10, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 11 Friendship St
Newport, RI 02840-2271 - City
- Newport
- State
- Rhode Island
- Zip
- 02840-2271
- Phone Number
- 401-845-1593
- Fax Number
- 401-847-0650
Provider Business Mailing Address Details
- Address
- 11 Friendship St
Newport, RI 02840-2271 - City
- Newport
- State
- RI
- Zip
- 02840-2271
- Phone Number
- 401-845-1593
- Fax Number
- 401-847-0650
License Information
- License Number
- PA00132
- License State
- RI
- Taxonomy
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of John T Jackson, PA-C?
The NPI number of John T Jackson, PA-C is 1295792687. It was assigned on April 28, 2006 and is currently active in the NPPES registry.
What is the specialty of John T Jackson, PA-C?
John T Jackson, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in RI under license number PA00132.
Where does John T Jackson, PA-C practice?
The practice location is 11 Friendship St, Newport, RI 02840-2271. The office can be reached at 401-845-1593 (phone) or 401-847-0650 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295792687 directly on the NPPES registry website.