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Contact Information

GINA D JACKSON, PA-C
8109 TIS WELL DRIVE
SUITE 511
ALEXANDRIA, VA22306
 Phone: 703-799-9500
 Fax: 703-799-9502
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for GINA D JACKSON · (Female)

NPI # 1265785786
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/22/2012
Last updated 07/08/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0110-004038
Hospital affiliation(s)
  • INOVA ALEXANDRIA HOSPITAL - (Acute Care)
    4320 SEMINARY RD
    ALEXANDRIA, VA 22304
  • INOVA MOUNT VERNON HOSPITAL - (Acute Care)
    2501 PARKERS LANE
    ALEXANDRIA, VA 22306
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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