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

Individual provider Surgical Physician Assistant · NPI 1417078908

Mr. Alfred B Jackson III, PA-C, MBA is a Surgical Physician Assistant in Wilmington, Delaware. Licensed in Delaware. Registered with an NPI since 2007.

Licensed in
DE
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
MBA — Master of Business Administration
A graduate business degree.

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Practice location Address checks out

501 W 14th St Ste 4154
Wilmington, DE 19801-1013
Phone: (302) 428-4654
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence C5-0000216 (DE)

Record details

NPI number1417078908
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C , MBA
Sole proprietorNo
NPI enumeratedApril 2, 2007
Last updated in NPPESApril 6, 2010

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