IndividualActive
Autumn Jackson, MHS, PA-C
NPI 1689629099 · Medical Physician Assistant · Falls Church, VA
Provider details
- NPI number
- 1689629099
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MHS, PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- C0003077 (MD)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3300 Gallows Rd
Inova Fairfax Ed
Falls Church, VA 22042-3307
Phone: (703) 776-2690
Approximate (ZIP-level) locationGet directions
Mailing address
7832 Tilghman St
Fulton, MD 20759-2579
Registry dates
- Enumerated
- 2006-05-23
- Last updated
- 2011-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.