Individual provider · Type 1 NPI

McKenzie Delos Jamison, PA-C

Surgical Physician Assistant · Arlington, VA

NPI number 1174436489 Active

Practice location

2800 S Shirlington Rd Ste 1100
Arlington, VA 22206-3605

Mailing address

163 Masters Way
Grasonville, MD 21638-1417

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X0110012409 (VA)

Surgical Physician Assistant: Definition to come...

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About NPI 1174436489

McKenzie Delos Jamison, PA-C's National Provider Identifier is 1174436489, issued on Sep 26, 2026. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Arlington, VA. The record was last updated on Oct 7, 2026.