person
Dr. Courtney D. Jackson, MD
Student in an Organized Health Care Education/Training Program in Elmira, New York
NPI 1174202832

Courtney D. Jackson is a Student in an Organized Health Care Education/Training Program based in Valley Grande, NY. Courtney D. Jackson practices in Elmira, NY and has the professional credentials of MD. The NPI Number for Courtney D. Jackson is 1174202832 and holds a License No. (New York).

The current practice location address for Courtney D. Jackson is 1001 Hoffman St, Elmira, NY and can be reached out via phone at 607-442-1713.

Location: 1001 Hoffman St, Elmira, NY, 36703-8809
person
Provider Profile Details
NPI Number
1174202832
Provider Name
Courtney D. Jackson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1001 Hoffman St, Elmira, NY, 36703-8809
Phone Number
607-442-1713
Fax Number
Provider Enumeration Date
07/11/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1001 Hoffman St
City
State
Zip
14905-1605
Phone Number
607-442-1713
Fax Number
person
Provider Business Mailing Address Details
Address
1001 Hoffman St
City
State
Zip
14905-1605
Phone Number
607-442-1713
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
(New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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