Individual provider · Type 1 NPI

Kaylyn A. Jackson, PA

Physician Assistant · Roanoke, VA

NPI number 1104283365 Active

Practice location

2001 Crystal Spring Ave SW Ste 201
Roanoke, VA 24014-2465

Call (540) 853-0100 Map

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713

Other practice locations

  • 1100 E Michigan Ave, Jackson, MI 49201-1847 · (517) 205-4800
  • 1221 Lee St, 2nd Floor, Charlottesville, VA 22908-0001 · (434) 924-5052

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X5601011711 (MI)
Surgical Physician Assistant 363AS0400X0110-005201 (VA)
Physician Assistant Primary 363A00000X0110005201 (VA)

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…

43 other providers at this address

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About NPI 1104283365

Kaylyn A. Jackson, PA's National Provider Identifier is 1104283365, issued on Jan 19, 2016. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Roanoke, VA. The record was last updated on Aug 15, 2025.