Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RILEY ELIZABETH JACKSON PA-C
NPI 1588504740
Physician Assistant in Jacksonville, FL

Active since March 30, 2026
2804 SAINT JOHNS BLUFF RD S STE 109, JACKSONVILLE, FL 32246(904) 727-9123 Get Directions Write a Review

NPPES record last updated: September 8, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 8, 2026, Mar 30, 2026 (2 updates tracked since 2026).

About Riley Elizabeth Jackson Pa-c NPPES

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

RILEY ELIZABETH JACKSON PA-C (NPI 1588504740) is an individual physician assistant in Jacksonville, Florida and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1588504740
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameRILEY ELIZABETH JACKSONCredential: PA-C
Location Address2804 SAINT JOHNS BLUFF RD S STE 109Jacksonville, FL 32246-3777
Mailing Address2804 Saint Johns Bluff Rd S Ste 109Jacksonville, FL 32246-3777
Sole ProprietorYes
Enumeration DateMarch 30, 2026
Last NPPES UpdateSeptember 8, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2026
✔ NPI 1588504740 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.
2804 SAINT JOHNS BLUFF RD S STE 109, Jacksonville, FL 32246

Other Providers at the Same Location NPPES 5

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

Physician Assistant (Medical)
2804 SAINT JOHNS BLUFF RD S STE 109
JACKSONVILLE, FL 32246
Physician Assistant
2804 SAINT JOHNS BLUFF RD S STE 109
JACKSONVILLE, FL 32246
Dermatology
2804 SAINT JOHNS BLUFF RD S STE 109
JACKSONVILLE, FL 32246
Physician Assistant
2804 SAINT JOHNS BLUFF RD S STE 109
JACKSONVILLE, FL 32246
Physician Assistant
2804 SAINT JOHNS BLUFF RD S STE 109
JACKSONVILLE, FL 32246

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 Riley Jackson's NPI number?

The NPI number for Riley Jackson is 1588504740. It was assigned to this individual provider in the NPPES registry on March 30, 2026.

Where is Riley Jackson located?

Riley Jackson practices at 2804 Saint Johns Bluff Rd S Ste 109, Jacksonville, FL 32246. The listed phone number is (904) 727-9123.

What is Riley 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 Riley Jackson was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.