Individual provider · Type 1 NPI

Autumn A. Jackson, MHS, PA-C

Medical Physician Assistant · Falls Church, VA

NPI number 1689629099 Active

Practice location

3300 Gallows Rd, Inova Fairfax Ed
Falls Church, VA 22042-3307

Mailing address

7832 Tilghman St
Fulton, MD 20759-2579

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XC0003077 (MD)
Medical Physician Assistant 363AM0700X0110002073 (VA)

Medical Physician Assistant: Definition to come...

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About NPI 1689629099

Autumn A. Jackson, MHS, PA-C's National Provider Identifier is 1689629099, issued on May 23, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Falls Church, VA. The record was last updated on Jul 11, 2011.