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

Individual provider Physician Assistant · NPI 1043649627

MS. Phyllis E Jackson, PA-C is a Physician Assistant in Glen Mills, Pennsylvania. Qualified in 2016, 10 years ago. Practices with Cmc Department of Medicine Group PA, a 474-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
10
Licensed in
PA
In the registry since
2013
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

300 Evergreen Dr Ste 150
Glen Mills, PA 19342-1059
Phone: (610) 874-1184
Fax: (610) 874-4258
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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 MA000510L (PA)

Record details

NPI number1043649627
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 5, 2013
Last updated in NPPESMay 6, 2014
Mailing address300 Evergreen Dr, Suite 150, Glen Mills, PA 19342-1059

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Cmc Department Of Medicine Group Pa — 474 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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