Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Holly Jackson, PA-C

Individual provider Physician Assistant · NPI 1467826248

Holly Jackson, PA-C is a Physician Assistant in College Station, Texas. Qualified in 2015, 11 years ago. Practices with Healthtexas Provider Network, a 2,539-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
11
Licensed in
TX
In the registry since
2015
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

4421 Highway 6 S Ste 100
College Station, TX 77845-6176
Phone: (979) 731-5200
Fax: (979) 731-5210
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 805 Hill Blvd Unit 104, Granbury, TX 76048-1482 — (817) 573-5760

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA10119 (TX)

Record details

NPI number1467826248
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedNovember 17, 2015
Last updated in NPPESJanuary 23, 2023
Certification dateJanuary 23, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Healthtexas Provider Network — 2539 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in College Station