Individual provider · Type 1 NPI

Latoya Jackson, PA-C

Physician Assistant · Ann Arbor, MI

NPI number 1144340902 Active

Practice location

2215 Fuller Rd
Ann Arbor, MI 48105-2303

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601004292 (MI)

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 1144340902

Latoya Jackson, PA-C's National Provider Identifier is 1144340902, issued on Mar 29, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Ann Arbor, MI. The record was last updated on Mar 23, 2026.