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

Mr. Warren W Jackson, RPA-C

Individual provider Physician Assistant · NPI 1447328166

Mr. Warren W Jackson, RPA-C is a Physician Assistant in Patchogue, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006

Practice location Address checks out

101 Hospital Rd
Patchogue, NY 11772-4870
Phone: (631) 654-7236
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 000191-1 (NY)

Record details

NPI number1447328166
Entity typeIndividual (Type 1)
GenderMale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedDecember 1, 2006
Last updated in NPPESJuly 8, 2007

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