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Mrs. Shayla Jackson, PA-C

Physician Assistant in Mars, PA · enumerated 2012.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1679824064

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Registry record

Entity type Individual (Type 1)
Name Mrs. Shayla Jackson
Credential PA-C
Sex Female
Practice address 6998 Crider Rd, Mars, PA, 16046
Enumeration date Sep 25, 2012
Last updated in NPPES May 19, 2025

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 085-011019 (IL) Secondary
363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License MA055773 (PA) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License MA055773 (PA) Primary

Other identifiers

Identifier Type State Issuer
100316099 Medicaid WI -

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.

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Frequently asked questions

How do I verify Shayla Jackson's NPI record?
Cross-check NPI 1679824064 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1679824064 active?
Yes, as of the latest NPPES snapshot, NPI 1679824064 is active (record last updated 2025-05-19).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-05-19.