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Active NPI 1023610151 Individual Practitioner Female Practitioner

Jenna Nura Jackson , PA-C

Physician Assistant • Hazel Park, MI

Professional Overview & Biography Verified Profile Summary

Jenna Jackson, PA-C is a registered healthcare professional specializing in Physician Assistant in Hazel Park, MI. Practice services are available at 624 E 9 MILE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

624 E 9 Mile Rd

Hazel Park, MI 480301842

Telephone 2486297497
Associated Practice Facility / Clinic
🏢 Mohammed S Haq Md P C Facility NPI 1437392552

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Hazel Park, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 3.6 Yrs
State Avg: 12.2 Yrs
Regional Practice Density
9 Specialists

Practicing in Hazel Park, MI (7057 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-12-01
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MI 5601010079

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Raven Richardson , FNP

Nurse Practitioner - Family

NPI 1083375380

Family Nurse Practitioner

Maria Nelson , MS, PA-C

Physician Assistant

NPI 1538860960

Master of Science, Physician Assistant (Certified)

Aseel Saleh , FNP

Nurse Practitioner - Family

NPI 1700594470

Family Nurse Practitioner

NPI 1861566598

Doctor of Medicine (M.D.), Doctor of Chiropractic

Katie Zhong , PA-C

Physician Assistant

NPI 1922605120

Physician Assistant (Certified)

Colleen Kinaia , MSN, FNP-BC

Nurse Practitioner - Family

NPI 1972203024

Master of Science in Nursing, Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 01, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location December 01, 2020

Registered at 624 E 9 MILE RD, HAZEL PARK, MI 480301842 (Tel: 2486297497)

📍
Updated Business Mailing Address December 01, 2020

Registered at 30575 WOODWARD AVE, ROYAL OAK, MI 480730980 (Tel: 2482808550)

👤
Provider Name / Credentials Updated December 01, 2020

Recorded as JENNA JACKSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2020

Physician Assistant (License #5601010079 in MI)

🟢
Initial NPI Registration & Enumeration November 13, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023610151
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 13, 2020
Last Update: December 01, 2020
Sole Proprietor: Yes

Mailing Address

30575 Woodward Ave

Royal Oak, MI 480730980

Phone: 2482808550

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.