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Randy D Jackson, PA-C
Physician Assistant in Millinocket, Maine
NPI 1508825357

Randy D Jackson is a Physician Assistant based in Millinocket, ME. Randy D Jackson practices in Millinocket, ME and has the professional credentials of PA-C. The NPI Number for Randy D Jackson is 1508825357 and holds a License No. PA-028 (Maine).

The current practice location address for Randy D Jackson is 200 Somerset St, Millinocket, ME and can be reached out via phone at 207-723-5173 and via fax at 207-723-3040.

Location: 200 Somerset St, Millinocket, ME, 04462-1258
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508825357
Provider Name
Randy D Jackson
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
200 Somerset St, Millinocket, ME, 04462-1258
Phone Number
207-723-5173
Fax Number
207-723-3040
Provider Enumeration Date
03/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
079032 01 ME ANTHEM
201855 01 ME NGS
1508825357 05 ME
institution
Provider Business Practice Location Address Details
Address
200 Somerset St
City
Millinocket
State
Maine
Zip
04462-1258
Phone Number
207-723-5173
Fax Number
207-723-3040
person
Provider Business Mailing Address Details
Address
200 Somerset St
City
Millinocket
State
Maine
Zip
04462-1258
Phone Number
207-723-5173
Fax Number
207-723-3040
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA-028 (Maine)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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