Individual
DANIEL SOLOMON JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-S
Contact information
Practice address
817 VOLVO PKWY, CHESAPEAKE, VA 23320-2855
(757) 668-4630
(757) 668-4635
Mailing address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-4630
(757) 668-4635
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110011156
VA
363A00000X
Physician Assistant
Primary
—
VA
Other
Enumeration date
01/13/2025
Last updated
01/30/2026
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