Individual provider · Type 1 NPI

John T. Jackson, PA-C

Medical Physician Assistant · Newport, RI

NPI number 1295792687 Active

Practice location

11 Friendship St
Newport, RI 02840-2271

Fax (401) 847-0650

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA00132 (RI)

Medical Physician Assistant: Definition to come...

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About NPI 1295792687

John T. Jackson, PA-C's National Provider Identifier is 1295792687, issued on Apr 28, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Newport, RI. The record was last updated on Apr 10, 2009.