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

Miss. Annabel Grace Jackson, PA-C

Individual provider Physician Assistant · NPI 1104695774

Miss. Annabel Grace Jackson, PA-C is a Physician Assistant in Newport News, Virginia. Qualified in 2024, 2 years ago. Works from 3 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
2
Licensed in
VA
In the registry since
2023
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

680 Oyster Point Rd Ste 105
Newport News, VA 23606-4570
Phone: (757) 668-4851
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 817 Volvo Pkwy, Chesapeake, VA 23320-2855 — (757) 668-4630
  • 3960 Virginia Beach Blvd Ste 101, Virginia Beach, VA 23452-2449 — (757) 668-4648

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110010113 (VA)

Record details

NPI number1104695774
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 25, 2023
Last updated in NPPESMay 1, 2026
Certification dateMay 1, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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