Individual provider · Type 1 NPI

Carly Jane Jackson, PA

Physician Assistant · Flowood, MS

NPI number 1194631044 Active

Practice location

2925 Layfair Dr
Flowood, MS 39232-9507

Mailing address

1156 Gunter Rd
Florence, MS 39073-9705

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

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 1194631044

Carly Jane Jackson, PA's National Provider Identifier is 1194631044, issued on Aug 20, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Flowood, MS. The record was last updated on Aug 20, 2026.