Individual
MISS ANNABEL GRACE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
680 OYSTER POINT RD STE 105, NEWPORT NEWS, VA 23606-4570
(757) 668-4851
Mailing address
601 CHILDRENS LN, NORFOLK, VA 23507-1971
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110010113
VA
Other
Enumeration date
12/25/2023
Last updated
05/01/2026
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