Individual provider · Type 1 NPI

Samuel Robert Jackson, PA

Physician Assistant · Roanoke, VA

NPI number 1699274993 Active

Practice location

1906 Belleview Ave SE
Roanoke, VA 24014-1838

Call (540) 981-7000 Map

Mailing address

719 Arbutus Ave SE
Roanoke, VA 24014-2503

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0110006058 (VA)

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 1699274993

Samuel Robert Jackson, PA's National Provider Identifier is 1699274993, issued on Feb 2, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Roanoke, VA. The record was last updated on Feb 2, 2018.