Davida Jackson
Davida Jackson is a Physician Assistant in Brooklyn, New York. Qualified in 2014, 12 years ago. Practices with City Medical of Upper East Side PLLC, a 663-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 12
- Licensed in
- NY
- In the registry since
- 2015
Practice location Address checks out
900 Lenox RdBrooklyn, NY 11203-2603
Phone: (718) 342-7733
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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 018541 (NY) |
|---|
Record details
| NPI number | 1285028860 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 23, 2015 |
| Last updated in NPPES | August 29, 2023 |
| Certification date | August 29, 2023 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2014 (12 years in practice) |
| Group practice | City Medical Of Upper East Side Pllc — 663 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 11 on file with Medicare |
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