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

Larry D Jackson, PA-C

Individual provider Physician Assistant · NPI 1912928441

Larry D Jackson, PA-C is a Physician Assistant in Youngstown, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

500 Gypsy Ln
Youngstown, OH 44504-1315
Phone: (330) 884-1000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50-000351 (OH)
Personal Emergency Response Attendant Taxonomy 146D00000X · Licence 50000351 (OH)

Record details

NPI number1912928441
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJuly 21, 2006
Last updated in NPPESNovember 20, 2014
Mailing address16620 Downey Glen Trl, Burton, OH 44021-9319

Other providers in Youngstown