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

Individual provider Physician Assistant · NPI 1386767440

Mrs. Jenny Jackson, PA-C is a Physician Assistant in Mineola, New York. Qualified in 2006, 20 years ago. Practices with MSK Nassau, a 98-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
20
Licensed in
NY
In the registry since
2007
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

243 Willis Ave
Mineola, NY 11501
Phone: (516) 742-1730
Fax: (516) 873-1641
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 Old Country Rd, Mineola, NY 11501-4235 — (516) 663-1223

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 011580 (NY)

Record details

NPI number1386767440
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 6, 2007
Last updated in NPPESDecember 3, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Msk Nassau — 98 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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