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ANGELICA JACKSON PA-C
NPI 1770950305
Physician Assistant - Medical in Houston, TX

Active since August 31, 2015
1616 CLEAR LK CTY BLVD STE 102, HOUSTON, TX 77062(713) 493-1346 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 29, 2024, Aug 24, 2021, Jun 14, 2016 (3 updates tracked since 2016).

About Angelica Jackson Pa-c NPPES

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

ANGELICA JACKSON PA-C (NPI 1770950305) is an individual medical provider in Houston, Texas, licensed in Texas (PA11392) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1770950305
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameANGELICA JACKSONCredential: PA-C
Location Address1616 CLEAR LK CTY BLVD STE 102Houston, TX 77062-8069
Mailing Address4706 Sabero LnLeague City, TX 77573-4893 · (951) 970-7201
Phone(713) 493-1346
Sole ProprietorNo
Enumeration DateAugust 31, 2015
Last NPPES UpdateApril 29, 20243 updates tracked since enumeration
NPPES CertifiedApril 29, 2024
✔ NPI 1770950305 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
Licenses✔ Licensed in TX · PA11392✔ Licensed in NC · 0010-05899
1616 CLEAR LK CTY BLVD STE 102, Houston, TX 77062
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Other Names 1

Former Name (1)Angelica Ramirez

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 Angelica Jackson's NPI number?

The NPI number for Angelica Jackson is 1770950305. It was assigned to this individual provider in the NPPES registry on August 31, 2015. The provider is also known as Angelica Ramirez.

Where is Angelica Jackson located?

Angelica Jackson practices at 1616 Clear Lk Cty Blvd Ste 102, Houston, TX 77062. The listed phone number is (713) 493-1346.

What is Angelica 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 Angelica Jackson was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.