Individual provider · Type 1 NPI

Danielle Leenora Jackson, PA-C

Physician Assistant · Oakland, CA

NPI number 1770711459 Active

Practice location

1450 Fruitvale Ave
Oakland, CA 94601-2313

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA21525 (CA)

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 1770711459

Danielle Leenora Jackson, PA-C's National Provider Identifier is 1770711459, issued on Jul 1, 2009. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Oakland, CA. The record was last updated on Apr 28, 2026.