Jackson Deen, PA
Physician Assistant · Gloucester, VA
NPI number
1154891174
Practice location
7519 Hospital DrGloucester, VA 23061-4178
- Phone
- (804) 693-8899
- Fax
- (804) 693-8810
NPI record
- NPI
- 1154891174
- Entity type
- Individual (Type 1)
- Enumeration date
- December 3, 2018
- Last updated
- December 3, 2018
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X |
— | — |
Mailing address
856 J Clyde Morris Blvd Ste aNewport News, VA 23601-1318
- Phone
- (757) 316-5800
- Fax
- (757) 534-5190
About Jackson Deen
Jackson Deen, PA is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 7519 Hospital Dr, Gloucester, VA 23061-4178. The NPI number 1154891174 was assigned on December 3, 2018 and the record was last updated on December 3, 2018.
Frequently asked questions
What is the NPI number of Jackson Deen, PA?
The NPI number is 1154891174.
What is the phone number of Jackson Deen?
The phone number listed for the practice location is (804) 693-8899.
Where is Jackson Deen located?
7519 Hospital Dr, Gloucester, VA 23061-4178.
What is the taxonomy code for Jackson Deen?
The primary taxonomy code is 363A00000X – Physician Assistant.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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