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

Michelene Jackson, PA

Individual provider Physician Assistant · NPI 1679565394

Michelene Jackson, PA is a Physician Assistant in Aurora, Colorado. Licensed in Colorado. Registered with an NPI since 2005.

Licensed in
CO
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3292 Peoria St
Aurora, CO 80010-1517
Phone: (303) 360-6276
Fax: (303) 467-5355
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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 PA.0000444 (CO)

Record details

NPI number1679565394
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 18, 2005
Last updated in NPPESApril 12, 2016
Mailing address3701 S Broadway, Englewood, CO 80113-3611

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