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Individual

JAMESA RENEE JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2964 N STATE ROAD 7 STE 205, MARGATE, FL 33063-5718
(954) 475-9244
Mailing address
2964 N STATE ROAD 7 STE 205, MARGATE, FL 33063-5718

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
MA065543
PA
363A00000X
Physician Assistant
Primary
PA9118777
FL

Other

Enumeration date
06/11/2024
Last updated
10/28/2025
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