Derrell G. Jackson, PA-C
Physician Assistant · Colonial Heights, VA
UnclaimedPA-CNPI 1104072297
- Primary taxonomy
- 363A00000X
- Enumerated
- 2008-08-08
- Practice location
- Colonial Heights, VA
- Last NPPES update
- 2010-05-26
State licenses
- VA · Physician assistant · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.