Jackson Deen, PA
Jackson Deen is a Physician Assistant provider (Physician Assistant) practicing in Gloucester, VA, registered in the NPPES registry with NPI 1154891174 since 2018. The credential PA stands for Physician Assistant.
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1154891174 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Jackson Deen |
| Credential | PA |
| Sex | Male |
| Practice address | Gloucester, VA, 23061 |
| Phone | 8046938899 |
| Fax | 8046938810 |
| Enumeration date | 2018-12-03 |
| Last updated in NPPES | 2018-12-03 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | Primary | — | — |
PA — Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential
Copy-ready billing details
Provider: Jackson Deen, PA NPI: 1154891174 Taxonomy: 363A00000X (Physician Assistant) Address: Gloucester, VA, 23061
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1609891746 | Riverside Emergency Physicians LLP | Organization | Emergency Medicine Physician | Gloucester, VA |
| 1265457618 | Gregory Bass | Individual | Emergency Medicine Physician | Gloucester, VA |
| 1033134499 | Annabel Britton | Individual | Nurse Practitioner | Gloucester, VA |
| 1316964885 | James Fish | Individual | Emergency Medicine Physician | Gloucester, VA |
| 1649297193 | John Cochran | Individual | Physician Assistant | Gloucester, VA |
| 1215955281 | Riverside Physician Services Inc | Organization | Hospitalist Physician | Gloucester, VA |
| 1528162534 | Riverside Middle Peninsula Hospital Inc | Organization | General Acute Care Hospital | Gloucester, VA |
| 1053493569 | Robert Cross | Individual | Hospitalist Physician | Gloucester, VA |
Verify this record
Cross-check NPI 1154891174 against the authoritative CMS record: view Jackson Deen on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Jackson Deen?
Where does Jackson Deen practice?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-12-03.