MR. ALFRED B JACKSON III PA-C, MBA
NPI 1417078908
Physician Assistant - Surgical in Wilmington, DE

Active since April 02, 2007
501 W 14TH ST, SUITE 4154, WILMINGTON, DE 19801(302) 428-4654 Get Directions Write a Review

NPPES record last updated: April 6, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Alfred B Jackson Iii Pa-c, Mba NPPES

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

MR. ALFRED B JACKSON III PA-C, MBA (NPI 1417078908) is an individual surgical provider in Wilmington, Delaware, licensed in Delaware (C5-0000216) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1417078908
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. ALFRED B JACKSON IIICredential: PA-C, MBA
Location Address501 W 14TH ST, SUITE 4154Wilmington, DE 19801-1013
Mailing Address797 Slate Hill DrOxford, PA 19363-1833 · (610) 932-7007
Sole ProprietorNo
Enumeration DateApril 2, 2007
Last NPPES UpdateApril 6, 2010
NPI 1417078908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in DE · C5-0000216
501 W 14TH ST, Wilmington, DE 19801

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.

Rehabilitation Unit
501 W 14TH ST
WILMINGTON, DE 19801
Internal Medicine
501 W 14TH ST, ROOM 5236
WILMINGTON, DE 19801
Nurse Practitioner (Family)
501 W 14TH ST, EMERGENCY DEPARTMENT
WILMINGTON, DE 19801
Student in an Organized Health Care Education/Training Program
501 W 14TH ST
WILMINGTON, DE 19801
Nurse Practitioner
501 W 14TH ST
WILMINGTON, DE 19801
Internal Medicine
501 W 14TH ST, WILMINGTON HOSPITAL - ADULT MEDICINE OFFICE
WILMINGTON, DE 19801
Nurse Practitioner (Adult Health)
501 W 14TH ST, WILMINGTON HOSPITAL RM 2244
WILMINGTON, DE 19801
Student in an Organized Health Care Education/Training Program
501 W 14TH ST
WILMINGTON, DE 19801

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 Alfred Jackson's NPI number?

The NPI number for Alfred Jackson is 1417078908. It was assigned to this individual provider in the NPPES registry on April 2, 2007.

Where is Alfred Jackson located?

Alfred Jackson practices at 501 W 14th St Suite 4154, Wilmington, DE 19801. The listed phone number is (302) 428-4654.

What is Alfred Jackson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Alfred Jackson was last updated on April 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.