Individual provider · Type 1 NPI

Brenden Jackson

Surgical Physician Assistant · Little River, SC

NPI number 1336090448 Active

Practice location

4000 Highway 9 E
Little River, SC 29566-7833

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1336090448

Brenden Jackson's National Provider Identifier is 1336090448, issued on Feb 5, 2026. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Little River, SC. The record was last updated on Jun 2, 2026.