MS. Jennifer Ann Jackson, RPAC
MS. Jennifer Ann Jackson, RPAC is a Physician Assistant in Cornwall, New York. Qualified in 1997, 29 years ago. Practices with New York Vascular Group PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 29
- Licensed in
- NY
- In the registry since
- 2007
Practice location Address checks out
19 Laurel Ave Ste 102Cornwall, NY 12518-1403
Phone: (845) 822-8100
Fax: (845) 822-8110
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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 006236 (NY) |
|---|
Record details
| NPI number | 1841482031 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | RPAC |
| Sole proprietor | No |
| NPI enumerated | August 13, 2007 |
| Last updated in NPPES | April 29, 2022 |
| Certification date | April 29, 2022 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 1997 (29 years in practice) |
| Group practice | New York Vascular Group Pllc — 3 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |