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

Randy D Jackson, PA-C

Individual provider Physician Assistant · NPI 1508825357

Randy D Jackson, PA-C is a Physician Assistant in Millinocket, Maine. Licensed in Maine. Registered with an NPI since 2006.

Licensed in
ME
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

200 Somerset St Ste 2
Millinocket, ME 04462-1258
Phone: (207) 723-5173
Fax: (207) 723-3040
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-028 (ME)

Record details

NPI number1508825357
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 21, 2006
Last updated in NPPESFebruary 11, 2013
Mailing address200 Somerset St, Millinocket, ME 04462-1258

Other providers in Millinocket