JACKSON JOSAPHAT
NPI 1093490245
Physician Assistant in Deerfield Beach, FL

Active since June 15, 2023
520 JEFFERSON DR UNIT 109, DEERFIELD BEACH, FL 33442(155) 124-8277 Get Directions Write a Review

NPPES record last updated: June 25, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 25, 2023, Jun 15, 2023 (2 updates tracked since 2023).

About Jackson Josaphat NPPES

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

JACKSON JOSAPHAT (NPI 1093490245) is an individual physician assistant in Deerfield Beach, Florida, licensed in Puerto Rico (1722-P.A.) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1093490245
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACKSON JOSAPHAT
Location Address520 JEFFERSON DR UNIT 109Deerfield Beach, FL 33442-9455
Mailing Address520 Jefferson Dr Unit 109Deerfield Beach, FL 33442-9455 · (155) 124-8277
Sole ProprietorNo
Enumeration DateJune 15, 2023
Last NPPES UpdateJune 25, 20232 updates tracked since enumeration
NPPES CertifiedJune 25, 2023
NPI 1093490245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in PR · 1722-P.A.
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.

520 JEFFERSON DR UNIT 109, Deerfield Beach, FL 33442

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 Jackson Josaphat's NPI number?

The NPI number for Jackson Josaphat is 1093490245. It was assigned to this individual provider in the NPPES registry on June 15, 2023.

Where is Jackson Josaphat located?

Jackson Josaphat practices at 520 Jefferson Dr Unit 109, Deerfield Beach, FL 33442. The listed phone number is (155) 124-8277.

What is Jackson Josaphat'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 Jackson Josaphat was last updated on June 25, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.