Kenneth Jackson, PA-C
NPI 1033238936 · Medical Physician Assistant · Berkley, MI
Kenneth Jackson, PA-C is a Medical Physician Assistant provider in Berkley, MI (NPI 1033238936).
Provider details
- NPI number
- 1033238936
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 5601001747 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-03-29
- Last updated
- 2021-01-25
- Certified
- 2021-01-25
Frequently asked questions
- What is Kenneth Jackson's NPI number?
- Kenneth Jackson's National Provider Identifier (NPI) is 1033238936, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Jackson's specialty?
- Kenneth Jackson is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kenneth Jackson located?
- Kenneth Jackson's practice location on file with NPPES is 27901 Woodward Ave, Berkley, MI 48072-0919.
- What is Kenneth Jackson's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Jackson is (248) 837-2443.
- Is Kenneth Jackson's NPI active?
- Yes — Kenneth Jackson's NPI (1033238936) is active in the NPPES registry as of the last update on 2021-01-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.