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

MS. Anisha Nicole Jackson, PA

Individual provider Physician Assistant · NPI 1174760961

MS. Anisha Nicole Jackson, PA is a Physician Assistant in Santa Ana, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009
Specialties on file
2
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

5 Hutton Centre Dr Ste 950
Santa Ana, CA 92707-8744
Phone: (855) 434-7763
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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 56906 (CA)
Prevention Professional Taxonomy 405300000X · Licence 56906 (CA)

Record details

NPI number1174760961
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 15, 2009
Last updated in NPPESOctober 4, 2025
Certification dateOctober 4, 2025

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