Individual provider · Type 1 NPI

Keith Allen Jackson, PA-C

Surgical Physician Assistant · Sacramento, CA

NPI number 1326527045 Active

Practice location

3000 Q St Fl 4
Sacramento, CA 95816-7058

Call (916) 733-5700 Map

Fax (916) 733-5714

Mailing address

3400 Data Dr
Rancho Cordova, CA 95670-7956

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA55837 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1326527045

Keith Allen Jackson, PA-C's National Provider Identifier is 1326527045, issued on Aug 13, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Sacramento, CA. The record was last updated on Oct 9, 2018.