Individual provider · Type 1 NPI

Larry D. Jackson, PA-C

Physician Assistant · Youngstown, OH

NPI number 1912928441 Active

Practice location

500 Gypsy Ln
Youngstown, OH 44504-1315

Mailing address

16620 Downey Glen Trl
Burton, OH 44021-9319

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X50-000351 (OH)
Personal Emergency Response Attendant 146D00000X50000351 (OH)

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 1912928441

Larry D. Jackson, PA-C's National Provider Identifier is 1912928441, issued on Jul 21, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Youngstown, OH. The record was last updated on Nov 20, 2014.