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

Individual provider Physician Assistant · NPI 1023610151

Jenna Nura Jackson, PA-C is a Physician Assistant in Hazel Park, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2020
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

624 E 9 Mile Rd
Hazel Park, MI 48030-1842
Phone: (248) 629-7497
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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 5601010079 (MI)

Record details

NPI number1023610151
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedNovember 13, 2020
Last updated in NPPESDecember 1, 2020
Certification dateDecember 1, 2020

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