Duncan, Thomas Jonathan Jackson

Duncan, Thomas Jonathan Jackson is an individual health care provider with primary practice located at 11803 Jefferson Ave Ste 205 , Newport News VA 23606-2565. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Duncan, Thomas Jonathan Jackson can be contacted via phone (757) 736-9860.

Contact Information

Primary practice address
11803 Jefferson Ave Ste 205 Newport News VA 23606-2565
Phone: (757) 736-9860
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110004996 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Virginia
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X Virginia
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X Virginia

Profile Details

NPI number 1528449790
LBN Legal business name Duncan, Thomas Jonathan Jackson
Credentials MPA, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2015
Last updated Jun 27th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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