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

Victor Jackson, PA-C

Individual provider Physician Assistant · NPI 1568644185

Victor Jackson, PA-C is a Physician Assistant in Coudersport, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.

Licensed in
PA
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

1001 E 2nd St
Coudersport, PA 16915-8161
Phone: (814) 274-9300
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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 MA052972 (PA)

Record details

NPI number1568644185
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 5, 2007
Last updated in NPPESAugust 27, 2009
Mailing address1001 E 2nd St, Coudersport, PA 16915-8161

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