Individual provider · Type 1 NPI

Brooke Jackson, PA-C

Physician Assistant · Burton, MI

NPI number 1780493320 Active

Practice location

1501 S Center Rd Ste B
Burton, MI 48509-1731

Mailing address

1501 S Center Rd Bldg B
Burton, MI 48509-1731

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601012955 (MI)

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 1780493320

Brooke Jackson, PA-C's National Provider Identifier is 1780493320, issued on Jan 7, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Burton, MI. The record was last updated on Dec 10, 2025.