DENISE L. JACKSON


Address: 415 Ray C. Hunt Drive, Ste 2200, Charlottesville, VA 22903-0001
Phone: 4349245700

DENISE L. JACKSON (NPI# 1568421311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568421311
Entity Type Individual
Full Name DENISE L. JACKSON
Credential P.A.
Practice Address 415 Ray C. Hunt Drive
Ste 2200
Charlottesville
VA 22903-0001
Mailing Address Po Box 9007
Charlottesville
VA 22906-9007
Practice Telephone 4349245700
Practice Fax Number 4349249616
Enumeration Date 2006-03-21
Last Update Date 2014-10-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 0110003442 VA Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
PA9101300 FL Physician Assistants & Advanced Practice Nursing Providers

Other Providers DENISE JACKSON

NPI Name Taxonomy Address Enumeration
1134736275 Denise Jackson Massage Therapist 102 Arborwood Dr, Anderson, SC 29621-5865 2020-09-23
1306330303 Denise Jackson Prosthetist 11720 Medlock Bridge Rd Ste 155, Johns Creek, GA 30097 2018-06-21
1720403256 Denise Ann Jackson Social Worker 1003 N Griffin Ave, Okmulgee, OK 74447-2512 2014-02-20
1982984118 Denise Jackson Case Manager/Care Coordinator 1704 Highway 69, Trumann, AR 72472 2011-08-19
1871545772 Denise L Jackson Family Medicine 10043 W Lincoln Hwy, Frankfort, IL 60423-1272 2006-05-17
1295732071 Denise Serotta Jackson Physical Therapist Stephen W. Bassin, P.t., P.C., 32 Sherman Ave, Glen Falls, NY 12801 2005-07-07
1669030649 Denise Jackson Counselor 200 Casentini St, Salinas, CA 93907-2299 2019-06-04
1669930616 Denise Jackson Technician 3110 Esther Pl Se, Washington, DC 20032-1505 2019-03-08
1538675632 Denise Diane Jackson Counselor 1545 W 25th St, Cleveland, OH 44113-3158 2017-12-27
1093089906 Denise Jackson Physical Therapy Assistant 10300 Southwest Hwy, Chicago Ridge, IL 60415-1426 2012-02-24

Office Location

Street Address 415 RAY C. HUNT DRIVE
STE 2200
City CHARLOTTESVILLE
State VA
Zip Code 22903-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679564777 Spencer Cranston Payne Otolaryngology 415 Ray C. Hunt Drive, Suite 1200, Charlottesville, VA 22903-0001 2005-10-31
1760801278 Cherie Chaney Nurse Practitioner 415 Ray C. Hunt Drive, Charlottesville, VA 22903-0001 2014-04-11
1497011134 Meaghan Mccarthy Stumpf Internal Medicine 415 Ray C. Hunt Drive, Ste 2100, Charlottesville, VA 38163-0001 2012-04-06
1053697680 Anuj Singla Orthopaedic Surgery 415 Ray C. Hunt Drive, Charlottesville, VA 22903-0001 2011-10-27
1730473331 Melissa Anne Mcnichol Audiologist 415 Ray C. Hunt Drive, Charlottesville, VA 22903-0001 2011-06-01
1316179856 Veronica Hughes Nurse Practitioner 415 Ray C. Hunt Drive, 2nd Floor, Charlottesville, VA 22903-0001 2009-08-18
1386878940 Adam Q. Carlson Internal Medicine 415 Ray C. Hunt Drive, Ste 2100, Charlottesville, VA 22903-0001 2009-05-12
1710140595 Hamid Hassanzadeh Orthopaedic Surgery 415 Ray C. Hunt Drive, Charlottesville, VA 22903-0001 2008-07-02
1386817484 James J. Daniero Otolaryngology 415 Ray C. Hunt Drive, Ste 2200, Charlottesville, VA 22903-0001 2008-04-09
1295943645 Ralf M. Nass Internal Medicine 415 Ray C. Hunt Drive, Charlottesville, VA 22903-0001 2007-05-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326671009 Ticynn Symone London Specialist/Technologist 723 Retriever Run, Ticynn London, Charlottesville, VA 22903 2020-02-20
1043853542 Elaine Mccall Dietitian, Registered 1335 Jefferson Park Ave, Charlottesville, VA 22903 2019-10-28
1205480753 Sean Robert Bennett Clinic/Center 433 Ednam Drive, Charlottesville, VA 22903 2019-08-01
1922562818 Lynn Owen Taggart Student in an Organized Health Care Education/Training Program 300 Grassmere Rd, Charlottesville, VA 22903 2019-01-25
1831636166 Sarah Michelle Richin Social Worker 709 A West Main St, Charlottesville, VA 22903 2017-01-25
1962868851 Kelly Stewart Maurer Counselor 3101 Fontaine Avenue, Charlottesville, VA 22903 2016-01-07
1831592039 Bearley Dental PC Dentist 901 Preston Ave, Suite 200, Charlottesville, VA 22903 2014-10-01
1730437823 Frances Eva Demmerle Neuromusculoskeletal Medicine & OMM 1149 Rose Hill Dr., Charlottesville, VA 22903 2012-08-21
1801142229 University of Virginia General Acute Care Hospital 1925 Beechcrest Court, Charlottesville, VA 22903 2012-08-03
1407123516 Laura P. Handler Counselor 500 Old Lynchburg Rd., Region Ten Csb, Charlottesville, VA 22903 2011-11-18
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568020410 Alexis Evans Physician Assistant 1215 Lee St Nnicu, Charlottesville, VA 22908 2019-06-04
1912562406 Danielle Shell Physician Assistant 1254 Clover Ridge Pl, Charlottesville, VA 22901-9213 2019-05-09
1265953699 Gina J Carroll Physician Assistant 2625 Cedar Ridge Ln, Charlottesville, VA 22901-9414 2017-07-06
1134585961 Natalie Smith Physician Assistant 183 Spotnap Rd Ste C, Charlottesville, VA 22911-8812 2016-01-08
1093185167 Emily Harriet Gilbert Physician Assistant 100 1st St N Apt 202, Charlottesville, VA 22902-5251 2015-10-01
1679815930 Lindsay R Caine-conley Physician Assistant 103 S Pantops Dr Ste 102, Charlottesville, VA 22911-8617 2013-03-25
1376829184 Traci L. Mahoney Physician Assistant 545 Ray C Hunt Dr Ste 140, Charlottesville, VA 22903 2011-10-25
1699951152 Michelle Louise Post Physician Assistant 545 Ray C. Hunt Drive, Ste 310, Charlottesville, VA 22903-7851 2008-01-15
1932223674 Alden R. Kent Physician Assistant 1st Lee St, Charlottesville, VA 22908-0001 2007-03-19
1124142229 Jennifer A. Hart Physician Assistant 1000 Massie Rd, Charlottesville, VA 22903 2007-03-16
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Competitor

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City CHARLOTTESVILLE
Zip Code 22903

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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