Individual provider · Type 1 NPI

Alfred B. Jackson Iii, PA-C, MBA

Surgical Physician Assistant · Wilmington, DE

NPI number 1417078908 Active

Practice location

501 W 14th St, Suite 4154
Wilmington, DE 19801-1013

Call (302) 428-4654 Map

Mailing address

797 Slate Hill Dr
Oxford, PA 19363-1833

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XC5-0000216 (DE)

Surgical Physician Assistant: Definition to come...

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About NPI 1417078908

Alfred B. Jackson Iii, PA-C, MBA's National Provider Identifier is 1417078908, issued on Apr 2, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Wilmington, DE. The record was last updated on Apr 6, 2010.