Individual provider · Type 1 NPI

Carol Mackenzie Jackson, PA-C

Physician Assistant · Philadelphia, PA

NPI number 1457567265 Active

Practice location

333 Cottman Ave
Philadelphia, PA 19111-2434

Call (215) 728-6900 Map

Fax (215) 728-2773

Mailing address

3500 N. Broad St. Room 001A
Philadelphia, PA 19140-4106

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XMA052046 (PA)

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 1457567265

Carol Mackenzie Jackson, PA-C's National Provider Identifier is 1457567265, issued on May 16, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Philadelphia, PA. The record was last updated on Dec 1, 2022.