Active NPIIndividual provider

Julianne Jackson, PA

Physician Assistant, Medical in Mays Landing, New Jersey

NPI Number1437197209
Practice location
4450 Black Horse Pike Ste 3972, Mays Landing, NJ 08330-3117
Fax
609-653-1439
Last updated
August 17, 2023

Julianne Jackson is a Physician Assistant, Medical based in Mays Landing, NJ. Julianne Jackson practices in Mays Landing, NJ and has the professional credentials of PA. The NPI Number for Julianne Jackson is 1437197209 and holds a License No. 25MP001302 (NJ). The current practice location address for Julianne Jackson is 4450 Black Horse Pike Ste 3972, Mays Landing, NJ 08330-3117 and can be reached out via phone at 609-365-6217 and via fax at 609-653-1439.

Provider Profile Details

NPI Number
1437197209
Provider Name
Julianne Jackson
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
4450 Black Horse Pike Ste 3972, Mays Landing, NJ 08330-3117
Phone Number
609-365-6217
Fax Number
609-653-1439
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Other Names
-- Julianne Sutton, PA (Former Name)
Provider Enumeration Date
June 3, 2006
Last Update Date
August 17, 2023
Certification Date
August 15, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
4450 Black Horse Pike Ste 3972
Mays Landing, NJ 08330-3117
Zip
08330-3117
Phone Number
609-365-6217
Fax Number
609-653-1439
Mays Landing, NJ 08330Get directions →

Provider Business Mailing Address Details

Address
1 E. New York Ave
4TH Floor Admin
Somers Point, NJ 08244
City
Somers Point
State
NJ
Zip
08244
Phone Number
609-653-3265
Fax Number
609-926-4311

License Information

License Number
25MP001302
License State
NJ
Taxonomy
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Julianne Jackson, PA?

The NPI number of Julianne Jackson, PA is 1437197209. It was assigned on June 3, 2006 and is currently active in the NPPES registry.

What is the specialty of Julianne Jackson, PA?

Julianne Jackson, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in NJ under license number 25MP001302.

Where does Julianne Jackson, PA practice?

The practice location is 4450 Black Horse Pike Ste 3972, Mays Landing, NJ 08330-3117. The office can be reached at 609-365-6217 (phone) or 609-653-1439 (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 1437197209 directly on the NPPES registry website.

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