Mark Jackson, P.A.-C
Physician Assistant · Fort Worth, TX
UnclaimedP.A.-CNPI 1922099977
- Primary taxonomy
- 363A00000X
- Enumerated
- 2005-10-31
- Practice location
- Fort Worth, TX
- Last NPPES update
- 2020-10-19
State licenses
- TX · 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.