Individual provider · Type 1 NPI

Marcia Blaire Jackson, PA-C

Physician Assistant · North Charleston, SC

NPI number 1891680989 Active

Practice location

2910 Tricom St
North Charleston, SC 29406-9350

Call (843) 572-9211 Map

Fax (843) 572-0457

Mailing address

PO Box 632509
Cincinnati, OH 45263-2509

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X6627 (SC)

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 1891680989

Marcia Blaire Jackson, PA-C's National Provider Identifier is 1891680989, issued on Jun 10, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in North Charleston, SC. The record was last updated on Oct 21, 2026.