Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
DENISE L. JACKSON
Active
Individual
DENISE L. JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110003442
VA
363AM0700X
Medical Physician Assistant
PA9101300
FL
363AS0400X
Surgical Physician Assistant
Primary
6278
SC
Other
Enumeration date
03/21/2006
Last updated
09/21/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers