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

Individual provider Physician Assistant · NPI 1871363556

Mallory Jackson, PA-C is a Physician Assistant in Lewistown, Pennsylvania. Qualified in 2023, 3 years ago. Practices with Nitin V Sheth MD LLC, a 7-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
3
Licensed in
PA
In the registry since
2024
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

6 N Dorcas St
Lewistown, PA 17044-1737
Phone: (717) 953-9571
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10086 Nancy Dr, Meadville, PA 16335-6322 — (814) 547-8555

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA065306 (PA)

Record details

NPI number1871363556
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 4, 2024
Last updated in NPPESJuly 19, 2024
Certification dateJuly 19, 2024
Mailing address10086 Nancy Dr, Meadville, PA 16335-6322

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Nitin V Sheth Md Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Lewistown