Dr. Juliet A Jackson, MD
Anesthesiology in Bridgeport, Connecticut
1124261086- Practice location
- 2800 Main St, Bridgeport, CT 06606-4292
- Phone
- 203-576-6000
- Fax
- —
- Last updated
- June 22, 2020
Juliet Alexandra Jackson is an Anesthesiology based in Bridgeport, CT. Juliet Alexandra Jackson practices in Bridgeport, CT and has the professional credentials of MD. The NPI Number for Juliet Alexandra Jackson is 1124261086 and holds a License No. 267424-1 (NY). The current practice location address for Juliet Alexandra Jackson is 2800 Main St, Bridgeport, CT 06606-4292 and can be reached out via phone at 203-576-6000.
Provider Profile Details
- NPI Number
- 1124261086
- Provider Name
- Juliet Alexandra Jackson
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2800 Main St, Bridgeport, CT 06606-4292
- Phone Number
- 203-576-6000
- Primary Taxonomy
- Anesthesiology · 207L00000X
- Sole Proprietor
- No
- Other Names
- Dr. Juliet Alexandra Georgetti, MD (Former Name)
- Provider Enumeration Date
- April 8, 2009
- Last Update Date
- June 22, 2020
- Certification Date
- June 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2800 Main St
Bridgeport, CT 06606-4292 - City
- Bridgeport
- State
- Connecticut
- Zip
- 06606-4292
- Phone Number
- 203-576-6000
Provider Business Mailing Address Details
- Address
- 99 East River Drive
5TH Floor
East Hartford, CT 06108 - City
- East Hartford
- State
- CT
- Zip
- 06108
- Phone Number
- 203-929-7353
License Information
- License Number (1)
- 267424-1
- License State (1)
- NY
- Taxonomy (1)
- Anesthesiology · 207L00000X
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (3)
- 52906
- License State (3)
- CT
- Taxonomy (3)
- Anesthesiology · 207L00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Juliet A Jackson, MD?
The NPI number of Dr. Juliet A Jackson, MD is 1124261086. It was assigned on April 8, 2009 and is currently active in the NPPES registry.
What is the specialty of Dr. Juliet A Jackson, MD?
Dr. Juliet A Jackson, MD is registered under the primary taxonomy Anesthesiology (code 207L00000X), licensed in NY under license number 267424-1.
Where does Dr. Juliet A Jackson, MD practice?
The practice location is 2800 Main St, Bridgeport, CT 06606-4292. The office can be reached at 203-576-6000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124261086 directly on the NPPES registry website.