Individual provider · Type 1 NPI

Angela Chase Jackson, PA-C

Physician Assistant · Fayetteville, NC

NPI number 1003018136 Active

Practice location

413 Owen Drive, Suite 201
Fayetteville, NC 28304-3411

Call (910) 323-9111 Map

Fax (910) 484-2535

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X001000770 (NC)

Physician Assistant: 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, orde…

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About NPI 1003018136

Angela Chase Jackson, PA-C's National Provider Identifier is 1003018136, issued on Jun 1, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fayetteville, NC. The record was last updated on Jun 24, 2026.