Wayne Jackson, PA

Individual Active
NPI 1750387023
Medical Physician Assistant Potsdam, NY

Wayne Jackson, PA holds NPI 1750387023, with a primary taxonomy of medical physician assistant and a practice location in Potsdam, NY. The number was issued on June 22, 2005 and the NPPES record was last updated on March 31, 2021. One additional practice location is listed.

This record hasn't been updated in NPPES since 2021. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X 004496 (NY)

Practice locations

50 Leroy St
Potsdam, NY 13676-1786
Phone: (315) 265-3300
4 Fuller Street
River Hospital
Alexandria Bay, NY 13607
Phone: (315) 482-2511

Local context

Active NPPES records list 11 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code, 8 of them within 10 miles.

The same primary taxonomy is listed by 3,702 in New York and 40,076 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Wayne Jeffery Jackson
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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