NPI 1003018136

Angela Chase Jackson, PAC

Practitioner Physician Assistant Fayetteville, NC

Practice location

Address: 413 Owen Drive Suite 201, Fayetteville, NC 28304-3411
Phone: (910) 323-9111
Fax: (910) 484-2535

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 001000770 (NC)

Other Physician Assistant providers in North Carolina →

Registry record

NPI: 1003018136
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Jun 2007
Record last updated: 24 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.