person
Dr. Crystal B Jackson, MD
Specialist in Youngsville, Louisiana
NPI 1083879837

Crystal B Jackson is a Specialist based in Youngsville, LA. Crystal B Jackson practices in Youngsville, LA and has the professional credentials of MD. The NPI Number for Crystal B Jackson is 1083879837 and holds a License No. (Louisiana).

The current practice location address for Crystal B Jackson is 700 Southlake Cir, Youngsville, LA and can be reached out via phone at 703-350-1912. You can also correspond with Crystal B Jackson through the mailing address at 700 SOUTHLAKE CIR, YOUNGSVILLE, LA - 70592-5671 (mailing address contact number: 703-350-1912).

Location: 700 Southlake Cir, Youngsville, LA, 70592-5671
person
Provider Profile Details
NPI Number
1083879837
Provider Name
Crystal B Jackson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
700 Southlake Cir, Youngsville, LA, 70592-5671
Phone Number
703-350-1912
Fax Number
Provider Enumeration Date
07/22/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00856598 01 DC RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
700 Southlake Cir
City
State
Zip
70592-5671
Phone Number
703-350-1912
Fax Number
person
Provider Business Mailing Address Details
Address
700 Southlake Cir
City
State
Zip
70592-5671
Phone Number
703-350-1912
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
(District of Columbia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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