Theresa G Jackson is a Physical Medicine & Rehabilitation Physician based in Portsmouth, VA. Theresa G Jackson practices in Portsmouth, VA and has the professional credentials of MD. The NPI Number for Theresa G Jackson is 1245239227 and holds a License No. 0101050002 (Virginia).
The current practice location address for Theresa G Jackson is 3640 High St, Portsmouth, VA and can be reached out via phone at 757-397-6930 and via fax at 757-397-4864.
Identifier | Type | State | Issuer |
---|---|---|---|
005602785 | 05 | VA | |
080007399 | 01 | VA | MEDICARE INDIVIDUAL PROVIDER ID |
P00799688 | 01 | VA | RR MEICARE |
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