person
Dr. Jacqueline Kay Jackson, MD
Adult Medicine Physician in Gainesville, Florida
NPI 1104157643

Jacqueline Kay Jackson is an Adult Medicine Physician based in Gainesville, FL and is specialized in Adult Medicine. Jacqueline Kay Jackson practices in Gainesville, FL and has the professional credentials of MD. The NPI Number for Jacqueline Kay Jackson is 1104157643 and holds a License No. ME 0058078 (Florida).

The current practice location address for Jacqueline Kay Jackson is 1621 Ne Waldo Rd, Gainesville, FL and can be reached out via phone at 352-264-8272 and via fax at 352-264-8304. You can also correspond with Jacqueline Kay Jackson through the mailing address at 1200 NE 55TH BLVD, GAINESVILLE, FL - 32641-2759 (mailing address contact number: 352-264-8272).

Location: 1621 Ne Waldo Rd, Gainesville, FL, 32641-2759
person
Provider Profile Details
NPI Number
1104157643
Provider Name
Jacqueline Kay Jackson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1621 Ne Waldo Rd, Gainesville, FL, 32641-2759
Phone Number
352-264-8272
Fax Number
352-264-8304
Provider Enumeration Date
01/22/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010829000 05 FL
institution
Provider Business Practice Location Address Details
Address
1621 Ne Waldo Rd
City
State
Zip
32609-3900
Phone Number
352-264-8272
Fax Number
352-264-8304
person
Provider Business Mailing Address Details
Address
1621 Ne Waldo Rd
City
State
Zip
32609-3900
Phone Number
352-264-8272
Fax Number
352-264-8304
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
License No.
ME 0058078 (Florida)
Definition
Definition to come.
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