MS. HAZEL JACKSON PA-C
NPI 1457684284
Physician Assistant - Medical in Gloucester, VA

Q: What is Hazel Jackson's NPI number?

The NPI number for Hazel Jackson is 1457684284. It was assigned to this individual provider in the NPPES registry on September 11, 2009.

Q: What is Hazel Jackson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Hazel Jackson was last updated on September 11, 2009. 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.

Active since September 11, 2009

7502 JUSTICE DR, GLOUCESTER, VA 23061(804) 693-1090(804) 693-1093 Get Directions Write a Review

NPPES record last updated: September 11, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Hazel Jackson Pa-c NPPES

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

MS. HAZEL JACKSON PA-C (NPI 1457684284) is an individual medical provider in Gloucester, Virginia, licensed in Virginia (0110002755) and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1457684284

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMS. HAZEL JACKSONCredential: PA-C

Location Address7502 JUSTICE DRGloucester, VA 23061-6101

Mailing Address7502 Justice DrGloucester, VA 23061-6101 · (804) 693-1090 · Fax (804) 693-1093

Phone(804) 693-1090

Fax(804) 693-1093

Sole ProprietorNo

Enumeration DateSeptember 11, 2009

✔ NPI 1457684284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in VA · 0110002755

7502 JUSTICE DR, Gloucester, VA 23061

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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 Hazel Jackson's NPI number?

The NPI number for Hazel Jackson is 1457684284. It was assigned to this individual provider in the NPPES registry on September 11, 2009.

Where is Hazel Jackson located?

Hazel Jackson practices at 7502 Justice Dr, Gloucester, VA 23061. The listed phone number is (804) 693-1090.

What is Hazel Jackson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Hazel Jackson was last updated on September 11, 2009. 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.