Larry D Jackson PA-C

  • NPI 1912928441
According to our database, the NPI number for Larry D Jackson PA-C is 1912928441 and activated since 17 years ago. Larry D Jackson PA-C is an individual provider who specializes in Physician Assistant, and the primary practice location is 500 Gypsy Ln, Youngstown, OH 44504. You can also contact Larry D Jackson PA-C via telephone number is (330) 884-1000. Provider NPI information was last updated on 11/20/2014.

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Overview of Larry D Jackson PA-C

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 07/21/2006
  • Last updated: 11/20/2014

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 50-000351
  • License State: OH

Provider Mailing Address

  • Address: 16620 Downey Glen Trl
    Burton, OH 44021
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 500 Gypsy Ln
    Youngstown, OH 44504
  • Phone: 330-884-1000
  • Fax:

Scope of Practice

  • Taxonomy Code: 146D00000X
  • Specialty: Personal Emergency Response Attendant
  • License Number: 50000351
  • License State: OH
  • Switch: No

Legacy Identifiers

  • Provider Identifier: 970029949
  • Identifier Type: Other
  • Identifier State: OH
  • Issuer: MEDICARE TRAVELERS RR-GA

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Larry D Jackson PA-C?
  • A: The npi number for Larry D Jackson PA-C is 1912928441.
  • Q: What are Larry D Jackson PA-C's specialties?
  • A: Larry D Jackson PA-C's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for Larry D Jackson PA-C?
  • A: The medical license number for Larry D Jackson PA-C is 50-000351 and issued in OH in USA.
  • Q: Where is Larry D Jackson PA-C practice location?
  • A: Larry D Jackson PA-C is practicing at 500 Gypsy Ln, Youngstown, OH 44504.
  • Q: How to contact Larry D Jackson PA-C?
  • A: You can contact Larry D Jackson PA-C via 330-884-1000.