Active NPIIndividual provider

Jean L Jackson, MD

Emergency Medicine, Pediatric Emergency Medicine in Newton, Massachusetts

NPI Number1700840162
Practice location
2014 Washington St, Newton, MA 02462
Fax
617-243-6924
Last updated
January 15, 2008

Jean Leigh Jackson is an Emergency Medicine, Pediatric Emergency Medicine based in Newton, MA. Jean Leigh Jackson practices in Newton, MA and has the professional credentials of MD. The NPI Number for Jean Leigh Jackson is 1700840162 and holds a License No. 212899 (MA). The current practice location address for Jean Leigh Jackson is 2014 Washington St, Newton, MA 02462 and can be reached out via phone at 617-243-6040 and via fax at 617-243-6924.

Provider Profile Details

NPI Number
1700840162
Provider Name
Jean Leigh Jackson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2014 Washington St, Newton, MA 02462
Phone Number
617-243-6040
Fax Number
617-243-6924
Sole Proprietor
No
Provider Enumeration Date
April 13, 2006
Last Update Date
January 15, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
2014 Washington St
Newton, MA 02462
City
Newton
Zip
02462
Phone Number
617-243-6040
Fax Number
617-243-6924
Newton, MA 02462Get directions →

Provider Business Mailing Address Details

Address
26 Bittersweet Ln
Weston, MA 02493
City
Weston
State
MA
Zip
02493
Phone Number
781-893-8896

License Information

License Number (1)
212899
License State (1)
MA
Taxonomy (1)
Emergency Medicine, Pediatric Emergency Medicine · 207PP0204X · Primary
License Number (2)
07406
License State (2)
RI

Legacy Identifiers

IdentifierTypeStateIssuer
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 Jean L Jackson, MD?

The NPI number of Jean L Jackson, MD is 1700840162. It was assigned on April 13, 2006 and is currently active in the NPPES registry.

What is the specialty of Jean L Jackson, MD?

Jean L Jackson, MD is registered under the primary taxonomy Emergency Medicine, Pediatric Emergency Medicine (code 207PP0204X), licensed in MA under license number 212899.

Where does Jean L Jackson, MD practice?

The practice location is 2014 Washington St, Newton, MA 02462. The office can be reached at 617-243-6040 (phone) or 617-243-6924 (fax).

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 1700840162 directly on the NPPES registry website.

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