Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brooke Jackson, PA-C

Individual provider Physician Assistant · NPI 1780493320

Brooke Jackson, PA-C is a Physician Assistant in Burton, Michigan. Qualified in 2024, 2 years ago. Practices with Genesee ENT Associates PC, a 4-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
2
Licensed in
MI
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1501 S Center Rd Ste B
Burton, MI 48509-1731
Phone: (810) 742-0225
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601012955 (MI)

Record details

NPI number1780493320
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 7, 2025
Last updated in NPPESDecember 10, 2025
Certification dateDecember 10, 2025
Mailing address1501 S Center Rd Bldg B, Burton, MI 48509-1731

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Genesee Ent Associates Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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