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Active NPI 1457684284 Individual Practitioner Female Practitioner

Hazel Jackson , PA-C

Physician Assistant - Medical • Gloucester, VA

Professional Overview & Biography Verified Profile Summary

Hazel Jackson, PA-C is a registered healthcare professional specializing in Physician Assistant - Medical in Gloucester, VA. Practice services are available at 7502 JUSTICE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7502 Justice Dr

Gloucester, VA 230616101

Telephone 8046931090
Fax 8046931093

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Medical in Gloucester, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.0 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Gloucester, VA (952 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

Physician Assistant - Medical Primary Specialty

NUCC Taxonomy Code: 363AM0700X

State License VA 0110002755

Definition to come...

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active September 11, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location September 11, 2009

Registered at 7502 JUSTICE DR, GLOUCESTER, VA 230616101 (Tel: 8046931090)

📍
Updated Business Mailing Address September 11, 2009

Registered at 7502 JUSTICE DR, GLOUCESTER, VA 230616101 (Tel: 8046931090)

👤
Provider Name / Credentials Updated September 11, 2009

Recorded as HAZEL JACKSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2009

Physician Assistant (License #0110002755 in VA)

🟢
Initial NPI Registration & Enumeration September 11, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1457684284
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 11, 2009
Last Update: September 11, 2009
Sole Proprietor: No
Update or Correct Profile

Mailing Address

7502 Justice Dr

Gloucester, VA 230616101

Phone: 8046931090

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.