Dr. Annise Jackson, MD
Psychiatry & Neurology, Psychiatry in Lexington, Massachusetts
1770979858- Practice location
- 33 Bedford St Ste 11, Lexington, MA 02420-4403
- Phone
- 781-825-5390
- Fax
- —
- Last updated
- July 12, 2023
Annise Jackson is a Psychiatry & Neurology, Psychiatry based in Lexington, MA. Annise Jackson practices in Lexington, MA and has the professional credentials of MD. The NPI Number for Annise Jackson is 1770979858 and holds a License No. 280649 (MA). The current practice location address for Annise Jackson is 33 Bedford St Ste 11, Lexington, MA 02420-4403 and can be reached out via phone at 781-825-5390.
Provider Profile Details
- NPI Number
- 1770979858
- Provider Name
- Annise Jackson
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 33 Bedford St Ste 11, Lexington, MA 02420-4403
- Phone Number
- 781-825-5390
- Primary Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 15, 2015
- Last Update Date
- July 12, 2023
- Certification Date
- July 12, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 33 Bedford St Ste 11
Lexington, MA 02420-4403 - City
- Lexington
- State
- Massachusetts
- Zip
- 02420-4403
- Phone Number
- 781-825-5390
Provider Business Mailing Address Details
- Address
- 33 Bedford St Ste 11
Lexington, MA 02420-4403 - City
- Lexington
- State
- MA
- Zip
- 02420-4403
- Phone Number
- 781-825-5390
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 280649
- License State (2)
- MA
- Taxonomy (2)
- Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychiatry & Neurology, Psychiatry providers near Lexington, MA
View all Psychiatry & Neurology, Psychiatry providers in Lexington →- Dr. Arielle V Pokossy, MDPsychiatry & Neurology, Psychiatry · NPI 1891361556
- Jackson Clinic LLCPsychiatry & Neurology, Psychiatry · NPI 1235873811
- Theodore P Wasik, MDPsychiatry & Neurology, Psychiatry · NPI 1003025776
- Miss Maria Lacreta, MACounselor, Mental Health · NPI 1306309166
- Lauren SabellaCounselor, Mental Health · NPI 1679364400
- Dana LinendollCounselor, Mental Health · NPI 1194517367
Frequently Asked Questions
What is the NPI number of Dr. Annise Jackson, MD?
The NPI number of Dr. Annise Jackson, MD is 1770979858. It was assigned on April 15, 2015 and is currently active in the NPPES registry.
What is the specialty of Dr. Annise Jackson, MD?
Dr. Annise Jackson, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in MA under license number 280649.
Where does Dr. Annise Jackson, MD practice?
The practice location is 33 Bedford St Ste 11, Lexington, MA 02420-4403. The office can be reached at 781-825-5390 (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 1770979858 directly on the NPPES registry website.