THERESA JACKSON, MD

Family Medicine

Active Individual
NPI: 1245239227

Practice Address

3640 HIGH ST
SUITE 2A
Portsmouth, VA 23707

Phone: (757) 397-6930

Specialties

Specialty Code Primary License
Physical Medicine & Rehabilitation 208100000X No 0101050002 (VA)
Family Medicine 207Q00000X Yes 0101050002 (VA)

Frequently Asked Questions

NPI 1245239227 is the National Provider Identifier for THERESA JACKSON, MD, a Family Medicine provider located in Portsmouth, VA. This NPI was enumerated on July 20, 2005.
THERESA JACKSON, MD practices at 3640 HIGH ST, SUITE 2A, Portsmouth, VA 23707.

Quick Facts

NPI
1245239227
Type
Individual
Enumerated
Jul 20, 2005
Last Updated
Jul 24, 2025

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