PAMELA JACKSON PA-C
NPI 1083171631
Physician Assistant in Port Chester, NY

Active since March 01, 2019
5 GRACE CHURCH ST, PORT CHESTER, NY 10573(914) 937-8899 Get Directions Write a Review

NPPES record last updated: May 21, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 21, 2019, Mar 1, 2019 (2 updates tracked since 2019).

About Pamela Jackson Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAMELA JACKSON PA-C (NPI 1083171631) is an individual physician assistant in Port Chester, New York and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1083171631
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NamePAMELA JACKSONCredential: PA-C
Location Address5 GRACE CHURCH STPort Chester, NY 10573-4911
Mailing Address5 Grace Church StPort Chester, NY 10573-4911 · (914) 937-8899
Sole ProprietorNo
Enumeration DateMarch 1, 2019
Last NPPES UpdateMay 21, 20192 updates tracked since enumeration
NPI 1083171631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

5 GRACE CHURCH ST, Port Chester, NY 10573

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
5 GRACE CHURCH ST
PORT CHESTER, NY 10573
Nurse Practitioner (Family)
5 GRACE CHURCH ST
PORT CHESTER, NY 10573
Health Educator
5 GRACE CHURCH ST
PORT CHESTER, NY 10573
Pediatrics
5 GRACE CHURCH ST
PORT CHESTER, NY 10573
Nurse Practitioner (Family)
5 GRACE CHURCH ST
PORT CHESTER, NY 10573
Nurse Practitioner (Family)
5 GRACE CHURCH ST
PORT CHESTER, NY 10573
Social Worker
5 GRACE CHURCH ST
PORT CHESTER, NY 10573
Optometrist
5 GRACE CHURCH ST, OPTOMETRY
PORT CHESTER, NY 10573

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pamela Jackson's NPI number?

The NPI number for Pamela Jackson is 1083171631. It was assigned to this individual provider in the NPPES registry on March 1, 2019.

Where is Pamela Jackson located?

Pamela Jackson practices at 5 Grace Church St, Port Chester, NY 10573. The listed phone number is (914) 937-8899.

What is Pamela Jackson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Pamela Jackson was last updated on May 21, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.